2.50
Hdl Handle:
http://hdl.handle.net/10755/183118
Category:
Abstract
Type:
Presentation
Title:
Establishing Shared Governance in Clinical Units in a 350-bed Magnet Hospital
Author(s):
Witherspoon, Debra
Author Details:
Debra Witherspoon, BSN, RN, South Miami Hospital, Miami, FL, email: debraW@baptisthealth.net
Abstract:
Purpose: The purpose of this project was to establish functioning self governed clinical nursing units within our 350 bed Magnet hospital. Self governance of clinical nurses within their functioning units was believed to be an effective mechanism to improve professional nursing practice and empower the nursing staff.

Method: To initiate the process the consulting firm of Creative Health Care Management was utilized. They worked with the shared governance coordinator in establishing the Unit Practice Counsels (UPCs) and conducted orientation sessions for the nurses. Each UPC meets monthly and has an elected chair and co-chair from the RN staff. Each UPC has a nurse from outside their unit who serves as a facilitator, clinicians and quality management nurses serve as the facilitators.

Findings: Over the period of 12 months, 18 self governing UPCs were established and functioning. UPC initiated projects are beginning including a program to improve patient satisfaction scores for the unit and one to improve morale and teamwork called Pay it Forward. The UPC for the OR requested that a UPC representative be present on all non-operations decision making committees. As a result the UPC chair was interviewed by the consultant/committee planning the construction of the new OR. Nurses report the process is rewarding for them. One nurse reported she was ready to leave nursing until she became involved in the UPC and sees the potential for the nurses to be change agents and make a difference. The facilitators enable the UPC process, yet do not solve any practice issues for them.

Discussion: Many RNs reported that their UPC work was more difficult than their work at the bedside. The nurses are engaged in process and it is safe to say that stars were born. The next step is formal evaluation of the self governance project using anonymous questionnaires.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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_US
dc.typePresentationen_GB
dc.titleEstablishing Shared Governance in Clinical Units in a 350-bed Magnet Hospitalen_GB
dc.contributor.authorWitherspoon, Debraen_US
dc.author.detailsDebra Witherspoon, BSN, RN, South Miami Hospital, Miami, FL, email: debraW@baptisthealth.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/183118-
dc.description.abstractPurpose: The purpose of this project was to establish functioning self governed clinical nursing units within our 350 bed Magnet hospital. Self governance of clinical nurses within their functioning units was believed to be an effective mechanism to improve professional nursing practice and empower the nursing staff. <br/><br/>Method: To initiate the process the consulting firm of Creative Health Care Management was utilized. They worked with the shared governance coordinator in establishing the Unit Practice Counsels (UPCs) and conducted orientation sessions for the nurses. Each UPC meets monthly and has an elected chair and co-chair from the RN staff. Each UPC has a nurse from outside their unit who serves as a facilitator, clinicians and quality management nurses serve as the facilitators. <br/><br/>Findings: Over the period of 12 months, 18 self governing UPCs were established and functioning. UPC initiated projects are beginning including a program to improve patient satisfaction scores for the unit and one to improve morale and teamwork called Pay it Forward. The UPC for the OR requested that a UPC representative be present on all non-operations decision making committees. As a result the UPC chair was interviewed by the consultant/committee planning the construction of the new OR. Nurses report the process is rewarding for them. One nurse reported she was ready to leave nursing until she became involved in the UPC and sees the potential for the nurses to be change agents and make a difference. The facilitators enable the UPC process, yet do not solve any practice issues for them.<br/><br/>Discussion: Many RNs reported that their UPC work was more difficult than their work at the bedside. The nurses are engaged in process and it is safe to say that stars were born. The next step is formal evaluation of the self governance project using anonymous questionnaires.en_GB
dc.date.available2011-10-28T16:15:19Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:15:19Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_US
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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