2.50
Hdl Handle:
http://hdl.handle.net/10755/157009
Category:
Abstract
Type:
Presentation
Title:
The Year of the Unit Based Council: Transforming Shared Governance from the Bedside Up
Author(s):
Lewis, Laura
Author Details:
Laura Lewis, RN,BN,BS,PCCN, Carolinas Medical Center, Charlotte, North Carolina, USA, email: laura@lakenorman.com
Abstract:
PURPOSE: To develop, support, and empower unit-based shared governance councils (UBCs) to be responsible for the practice of professional nursing at our hospital starting at the unit level. This included changing the culture to one of "they" and management as "parents" to "we" and management as "partners." Transformation included UBCs becoming responsible for culture, personal accountability, professional development, leadership, mentoring, and staff decision making on their unit. DESCRIPTION: Our coordinating council determined that strong, engaged UBCs were essential to attaining our nursing goals as well as effective communication with and involvement of bedside nurses. All units were expected to have UBCs that met monthly. The council includes staff nurses, any nurses sitting on hospital-wide councils, the manager, and ancillary staff. The UBC goal was to increase the involvement of bedside nurses in practice decisions related to patient outcomes at the unit level, quality improvement based on the unit's data, research specific to their patient population, recruitment and retention, and certification. Minutes were posted monthly and communicated in team huddles. To educate UBCs on these expectations a class, Shared Governance 101, was created. All UBC chairs and managers attended together. The class included information on UBCs' roles and responsibilities, including how to interpret data, research issues, and create plans of action. Examples were given of UBCs that have successfully implemented changes resulting in increases in patient satisfaction, patient outcomes, and other data. Time was allotted to discuss challenges faced by UBCs and suggest solutions. EVALUATION/OUTCOMES: All units now have UBCs meeting monthly. Over 95% of the UBC chairs and managers have attended Shared Governance 101 and it has been expanded to all interested nurses. Council minutes are posted on the hospital's Web site. During the recent JCAHO visit, nurses referred to their unit data and work of their UBC in answering surveyors' questions concerning patient outcomes. Bedside nurses know where to find unit-specific data and action plans. Based on class feedback we have developed a Shared Governance 100 covering nursing philosophy, synergy model of patient care delivery, and hospital-wide council structure. Plans are underway to develop a Shared Governance 102 for more in-depth data analysis, research models, and action plan development.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Year of the Unit Based Council: Transforming Shared Governance from the Bedside Upen_GB
dc.contributor.authorLewis, Lauraen_GB
dc.author.detailsLaura Lewis, RN,BN,BS,PCCN, Carolinas Medical Center, Charlotte, North Carolina, USA, email: laura@lakenorman.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157009-
dc.description.abstractPURPOSE: To develop, support, and empower unit-based shared governance councils (UBCs) to be responsible for the practice of professional nursing at our hospital starting at the unit level. This included changing the culture to one of "they" and management as "parents" to "we" and management as "partners." Transformation included UBCs becoming responsible for culture, personal accountability, professional development, leadership, mentoring, and staff decision making on their unit. DESCRIPTION: Our coordinating council determined that strong, engaged UBCs were essential to attaining our nursing goals as well as effective communication with and involvement of bedside nurses. All units were expected to have UBCs that met monthly. The council includes staff nurses, any nurses sitting on hospital-wide councils, the manager, and ancillary staff. The UBC goal was to increase the involvement of bedside nurses in practice decisions related to patient outcomes at the unit level, quality improvement based on the unit's data, research specific to their patient population, recruitment and retention, and certification. Minutes were posted monthly and communicated in team huddles. To educate UBCs on these expectations a class, Shared Governance 101, was created. All UBC chairs and managers attended together. The class included information on UBCs' roles and responsibilities, including how to interpret data, research issues, and create plans of action. Examples were given of UBCs that have successfully implemented changes resulting in increases in patient satisfaction, patient outcomes, and other data. Time was allotted to discuss challenges faced by UBCs and suggest solutions. EVALUATION/OUTCOMES: All units now have UBCs meeting monthly. Over 95% of the UBC chairs and managers have attended Shared Governance 101 and it has been expanded to all interested nurses. Council minutes are posted on the hospital's Web site. During the recent JCAHO visit, nurses referred to their unit data and work of their UBC in answering surveyors' questions concerning patient outcomes. Bedside nurses know where to find unit-specific data and action plans. Based on class feedback we have developed a Shared Governance 100 covering nursing philosophy, synergy model of patient care delivery, and hospital-wide council structure. Plans are underway to develop a Shared Governance 102 for more in-depth data analysis, research models, and action plan development.en_GB
dc.date.available2011-10-26T19:20:25Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:20:25Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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