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WHDL - 00017108

INTERPROFESSIONAL SHARED GOVERNANCE: EFFECTS ON NURSES AND NURSE LEADERS

Liza Shuttz

Resource Types

Academic (Thesis, Dissertation, Etc.)

Resource Languages

English

Institutional Repository

Indiana Wesleyan University Institutional Repository

Description / Abstract

Shared governance improves nursing engagement across multiple healthcare settings. Especially after the COVID-19 pandemic, nursing turnover is a significant problem faced by healthcare systems. This Doctor of Nursing practice project aimed to combat nursing turnover and absenteeism by improving the engagement of frontline staff nurses and nurse leaders by implementing a trial of shared governance. As a precursor to discussions about a formalized shared governance structure, a trial of a shared governance foundational framework was completed on several units within a correctional health facility in a public sector healthcare system. The nursing staff, nurse leaders, human resources, the nurses’ union, and other interprofessional team members were engaged and empowered to make decisions that impacted their professional practice on a volunteer basis at the unit level. The quantitative comparison of absenteeism and turnover rates among staff nurses and nurse leaders in three months from the previous calendar year versus the same period after implementation was inconclusive. While the overall average turnover rates of both nurse leaders and staff nurses increased post-implementation, the staff nurse turnover decreased on a month-to-month basis immediately following the implementation. Average absenteeism increased in both staff nurses and leaders. Incidental qualitative findings were gleaned as well, including both positive and negative themes associated with the collaboration produced by the project.

Keywords

Keywords and phrases include interprofessional shared governance, interprofessional collaboration, shared governance, and employee turnover.