Shared Governance Model Analysis

In the modern world we live now, many changes have occurred throughout the nursing field and the quality of patient care. As a result, patients are becoming extremely demanding and wanting more from their care. In order to fulfill those caring needs, nurses and other healthcare professionals need to work together and build teamwork strategies. As a nurse working side by side with other health care professionals, including the nursing assistants, communication is a strong strategy behind a teamwork effort. In contrast, if working with other healthcare providers become difficult, the quality of patient care, health promotion, and established teamwork strategies will become difficult to implement. Therefore, nursing teamwork with other health-care professionals is essential in the transition of patient care.

There are many roles and areas of practice available to graduates with a master’s degree in nursing. Changes in healthcare resulting from the passage of the Affordable Care Act offer new and innovative roles for nurses. Among these roles are direct care practice roles as a Nurse Practitioner (NP) in family care, gerontology or adult health. Indirect care roles as a Nurse Educator, Nurse Administrator, or Nurse Informaticist are also options graduates of master’s program may choose. Regardless of the path chosen, there are core competencies that must be met for each, in addition to specific competencies related to the area of practice chosen. This paper will compare and contrast the roles of Family Nurse

A career as a Psychiatric-Mental Health Nurse Practitioner is a natural extension of my personal, educational, and research experiences. Although my path to nursing has not been a straight line, every experience that put me on this path has shaped my passion and dedication to psychiatric nursing.

The Institute of Medicine (IOM) has a strong stance on nurses and leadership. They believe that nurses are a vital component to health care system and nurses in leadership roles can have a positive impact on such. Nurses are in all sorts of roles within the health care systems ranging from a staff nurse, nurse managers, to advance practice, all the way to congress (Finkelman & Kenner, 2013). In addition, they even serve in the boardroom within some health care organizations. Leadership doesn’t necessarily mean a nurse in a manager position, but a nurse who has an influence on staff. (Finkelman, et al, 2013). The importance to having all health care members working together in leadership roles is imperative to positive changes within the health care setting. Nurses can give an insight on matters that only a nurse can, and this is an important viewpoint that needs to be included when

The two competencies addressed in this paper are Inter-professional Collaboration and Patient Centered Care. Following are discussions surrounding these competencies, concepts, terms, and relationships to theory. By addressing the role of nursing in shaping these areas, attention was focused on historical components, professional value. attitudes, and documentation based in evidence. The current areas that are influential in healthcare, such as political, financial, on a national and international levels were inspected.

Since Nightingale’s Notes on Nursing was published in 1859 (Polit & Beck, 2012), nursing research with a focus on evidence-based practice has driven patient care practices and policies within healthcare facilities. At my facility, practice changes are driven through the Practice Council of the Shared Governance Council with support from the Research Council.

The type of model of nursing care delivery used on my unit is a team nursing model. I am currently working on a 50-bed orthopedic unit in a level one trauma center. The unit is divided into 2 areas. One of the sides is for trauma patients and the other one is for elective surgical patients. One nurse assumes the charge nurse duties, including making staff assignments, managing call-outs, communicating with the patient care coordinator, and supervises problems and concerns for both areas of the unit. There are also multiple nurses on the unit, and each nurse is assigned about 5 or 6 patients for each shift. In team nursing, the medications are given by one nurse while baths, vital signs, and lab works are provided by a nursing assistant (NA).

Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions. “Shared governance, which gives nurses control over their professional practices, is an essential element of a professional practice nursing model, providing structure and context for health care delivery” (cite shared governance article). This allows each healthcare worker to have a voice in the decision making and encourage input that will expand the business and healthcare.

The Nurse Practice Act defines nursing as diagnosing and treating humans in response to actual or potential health problems, through services such as case findings, health teachings, and provision of care supportive to the restoration of life and well- being. All of which must be done in respect to human dignity. This code of ethics allows patients, families and communities to live with physical, emotional, social and spiritual well - being (Code of Ethics, 2005, p.7 ). As a practicing nurse of 15 years , I believe my values and background have both shaped my passion for nursing and directed my professional career.

The key role of a nurse executive in the SLMC is to advance the discipline of nursing through creating an enduring connection with all the staffs and fostering the stewardship and the progress of the healthcare organization (Stolley, Watson 2012). The theory will assist me to stand out as the role model for many employees in achieving and working towards the mission and the vision of SLMC health care organization. Every staff in his position will accept his role and work towards value

This paper is a critique of the research article titled, Hospital Nurses’ Lived Experience of Power. Currently there are 4.1 million licensed registered nurses in the United States, representing a potentially powerful workforce (as cited in Budden, Zhong, Moulton, & Cimiotti, 2013). The number of RN’s in the hospital setting indicates a need for understanding meaning and experience of power from the perspective of clinical nurses. Despite the awareness of the nursing workforce, power held by the nurse is an infrequent study. The purpose of the study was to explore hospital nurses’ lived experience of power, which focused on, “what is the lived experience of power to hospital clinical nurses; and what is the meaning of power to hospital clinical

Shared governance is extremely important when it comes to the profession on nursing. What is shared governance and how does it relate to nurses? “Shared governance is a dynamic process for achieving organizational effectiveness by promoting decision making and accountability for practice through empowerment” (Bednarski, 2009, para. 1). When organizations allow nurses to participate in shared governance, it gives the nurses professional autonomy (Bednarski, 2009). “It empowers nurses to contribute collaboratively to the decision-making process related to nursing practice, practice standards, and procedures” (Bednarski, 2009, para. 1). In all honesty, nurses are in the perfect role to contribute to improving patient care.

Teamwork builds up the ability of nurses and other healthcare providers to implement higher quality and a more holistic care. In this essay, firstly, I am going to discuss about teamwork in nursing. Secondly, I am going to talk about the importance of teamwork within nurses and other healthcare providers. Thirdly, I am going to discuss about the benefits of having teamwork and proper delegation needed among nurses. And lastly, using Singapore nursing board, code of ethics and professional conduct that direct to this clinical situation. I will also discuss on how this clinical situation could be done differently.

7 This concept is taken from module 8:2 entitled, quality assurance model, documentation, recording and reports.

The Nursing Home management development programme is designed will help you further develop your management and leadership skills in a nursing home environment. As part of the programme each participant will be required to keep a “Learner record” during the programme. The purpose of this document is to encourage you to reflect on the content of the Nursing Home Management Development Programme in Leadership and describe how you will go about implementing the learning into your personal management style going forward.