Shared governance: a children’s hospital journey to clinical nursing excellence

Abstract

Background: Shared governance is examined through a framework for developing independent decision making in professional nursing practice and improving patient care outcomes. Aims: This study is designed to obtain a baseline measurement of the degree of shared governance in a selected children’s hospital in Saudi Arabia. Methods: The study was guided by the Donabedian model. The Professional Nursing Governance Index was used. A total of 400 questionnaires were distributed to nurses working at the hospital, with a response rate of 77% (n = 307). Descriptive and inferential statistics were used for analysis. Results: The results corresponded with those from nurses and managers in most subscales of the Index of Professional Nursing Governance (information, goals, resources, participation and practice). However, nurses working in the operating theatre and surgical unit have a perceived higher level of shared governance than those in critical care units and medical wards. Conclusions: The results could encourage shareholders and leaders in the nursing field to develop the perception of shared governance by adopting a shared governance model, which in turn might improve the quality of nursing care.