Sustaining Leadership at the Point of Care through Shared Governance Case Study in a Large Public Hospital System

2.50
Hdl Handle:
http://hdl.handle.net/10755/183140
Category:
Abstract
Type:
Presentation
Title:
Sustaining Leadership at the Point of Care through Shared Governance Case Study in a Large Public Hospital System
Author(s):
Fray, Beverly
Author Details:
Beverly Fray, RN, MSN, APRN-BC, Jackson Health System, Miami, FL, email: BFray2@jhsmiami.org
Abstract:
Purpose: Sustaining Shared Governance in large, public, academic medical centers can be challenging especially when ninety-one Unit Practice Councils (UPCs) have been established. (A UPC is the unit-based aspect of Shared Governance. Its members comprise staff nurses, unit secretaries, LPNs and unlicensed personnel). A full-time UPC Coordinator supported by a grant by the Health Foundation of South Florida facilitated the implementation of Shared Governance in one of these centers. However, sustaining the UPCs became a challenge and the reasons were not well defined. The UPC Coordinator embarked on a project to explore the reasons why many UPCs were struggling to meet their potential. The purpose of the study was two-fold. First, to explore the factors that would lead to sustainability and success of the Unit Practice Councils and second to find what barriers prevented them from being successful. Method: The UPC Coordinator conducted focus groups with UPC members, nurse managers, associate nurse managers and nursing directors, utilizing a self-administered questionnaire (SAQ). One hundred and ninety-two employees participated in the survey. The results were then analyzed for qualitative and quantitative significance. Findings: The top five reasons cited for success were committed, dedicated staff; guidance and support from management/facilitator; education prior to Unit Practice Council start-up; regular meetings; and formal structure. Absent all these five criteria, the UPC is unlikely to succeed. Discussion: UPCs are vital to maintaining true Shared Governance in large, public, academic medical centers. For them to be successful, they need committed, dedicated staff, guidance and support from management and an objective facilitator. In addition, resources must be allocated by the facility for education and training about Shared Governance and there a formal structure must be in place to support the process of Shared Governance.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, 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.titleSustaining Leadership at the Point of Care through Shared Governance Case Study in a Large Public Hospital Systemen_GB
dc.contributor.authorFray, Beverlyen_US
dc.author.detailsBeverly Fray, RN, MSN, APRN-BC, Jackson Health System, Miami, FL, email: BFray2@jhsmiami.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/183140-
dc.description.abstractPurpose: Sustaining Shared Governance in large, public, academic medical centers can be challenging especially when ninety-one Unit Practice Councils (UPCs) have been established. (A UPC is the unit-based aspect of Shared Governance. Its members comprise staff nurses, unit secretaries, LPNs and unlicensed personnel). A full-time UPC Coordinator supported by a grant by the Health Foundation of South Florida facilitated the implementation of Shared Governance in one of these centers. However, sustaining the UPCs became a challenge and the reasons were not well defined. The UPC Coordinator embarked on a project to explore the reasons why many UPCs were struggling to meet their potential. The purpose of the study was two-fold. First, to explore the factors that would lead to sustainability and success of the Unit Practice Councils and second to find what barriers prevented them from being successful. Method: The UPC Coordinator conducted focus groups with UPC members, nurse managers, associate nurse managers and nursing directors, utilizing a self-administered questionnaire (SAQ). One hundred and ninety-two employees participated in the survey. The results were then analyzed for qualitative and quantitative significance. Findings: The top five reasons cited for success were committed, dedicated staff; guidance and support from management/facilitator; education prior to Unit Practice Council start-up; regular meetings; and formal structure. Absent all these five criteria, the UPC is unlikely to succeed. Discussion: UPCs are vital to maintaining true Shared Governance in large, public, academic medical centers. For them to be successful, they need committed, dedicated staff, guidance and support from management and an objective facilitator. In addition, resources must be allocated by the facility for education and training about Shared Governance and there a formal structure must be in place to support the process of Shared Governance.en_GB
dc.date.available2011-10-28T16:16:15Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:16:15Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, 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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