Discussion: The CNO and Shared Governance Structure

Discussion: The CNO and Shared Governance Structure

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During the 1980s, nursing and healthcare were suffering from challenges of an acute nursing shortage, rampant nurse turnover, and issues with nurse retention. In the mid-1980s, shared governance was instituted to incentivize and empower nurses. Shared governance is an innovative organizational model promoting staff control and autonomy over nursing practice in areas that were previously controlled by managers. The concept of shared governance may be a challenge to understand because it is not uniformly applied or operationalized and because of the great diversity in shared governance models. Nurses working in organizations with shared governance models are more empowered and have higher levels of satisfaction in their roles. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Compare the roles of the CNO and nursing directors or managers in a shared governance structure. What steps can the CNO take to enable smooth operations in such a structure? Identify two challenges CNOs face when working with a shared governance structure. Compare and contrast a model of shared governance with an authoritarian or autocratic CNO. Examine the role of the CNO in working to set parameters for nurses in a shared governance structure. Comment on the postings of at least two peers. Evaluation Criteria: Compared the roles of the CNO and nursing directors or managers in a shared governance structure. Listed steps the CNO can take to enable smooth operations in such a structure. Identified two challenges CNOs face when working with a shared governance structure. Compared and contrasted a model of shared governance with an authoritarian or autocratic CNO. Examined the role of the CNO in working to set parameters for nurses in a shared governance structure. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.

 

ADDITIONAL DETAILS 

The CNO and Shared Governance Structure

Introduction

The CNO and Shared Governance Structure is an approach that has helped hospitals and other healthcare providers create more effective teams by engaging staff in decision-making. This can be done through team meetings or through shared governance councils, which allow for input from staff on how to improve patient care at the unit level.

Work with the board of directors.

The board of directors is the governing body of your organization. They provide guidance, funding and direction as well as a vision for how you can grow your business. They may also be able to provide support when needed.

Establish a shared governance council.

Establish a shared governance council.

The purpose of this council should be to provide an open forum for staff and board members to discuss issues that impact them, their colleagues or the company as a whole. The goal is for all parties involved in this process to come up with solutions that are mutually agreed upon by everyone involved.

To set up a shared governance council:

• Get buy-in from staff members—It’s important that everyone who attends the meeting feels comfortable enough with what they’re doing so they can contribute ideas and opinions without feeling intimidated by other people speaking at their table or being nervous about making mistakes while giving feedback on topics like compensation policies or performance evaluations. If there aren’t any existing committees within your organization yet (or even if there are), consider creating one right away! You may want to use an existing committee structure such as “HR Committee” as inspiration for how best organize yourself when forming one yourself but keep in mind that no matter what type of committee it ends up being called after its creation date has passed…it needs more work done before its official debut!

let staff contribute and make decisions at the unit level.

The CNO and shared governance structure is a great way for staff members to contribute and make decisions at the unit level. Staff members are experts in their field, so they know what works and what doesn’t. They can make decisions based on their own experience and evidence-based practice, which means that they have more confidence in their recommendations than managers who are not involved in patient care or who may have only been trained as a nurse but not as an expert in critical care medicine.

This means that if you’re a nurse with years of experience caring for patients at your hospital, it’s important that you feel empowered by this new system so that you can continue doing what comes naturally: providing excellent patient care!

Explain why the program is being put into place.

• Shared governance is a process by which a group of stakeholders can make decisions about the direction, goals and objectives of an organization. It involves two or more organizations coming together to reach consensus on issues that affect them both.

• The purpose of shared governance is to ensure that all parties have an equal say in how programs are designed and implemented within the organization. This prevents conflicts between departments or groups because they work together as one unit instead of independently.

• Shared governance helps companies become more efficient by making sure everyone has input into decisions about how their money is used; it also gives them better quality products because each department knows what needs changing before anything gets released into production.*

Discuss the power of a team and how it benefits everyone in the hospital or facility.

The CNO and shared governance structure is a powerful tool. It allows the CNO, who has the most direct impact on patient care, to bring together all employees at every level of an organization in order to make decisions that affect their work environment. This can lead to better employee satisfaction and teamwork, which is important for any healthcare facility or hospital.

Help staff recognize that they contribute to patient care every single day

The CNO and Shared Governance Structure is a way to recognize the staff members who contribute to patient care every single day. They are the ones who interact with patients, and they are the ones who can help them feel at ease. It’s important that you don’t forget that without your employees, there would be no healthcare system at all!

Everyone on staff deserves recognition for their contributions—and it isn’t just because they’re doing their jobs well or efficiently; it’s because they’re making an impact on patients’ lives every single day. And if you want people working hard for your organization then why not give them something back?

Learn as much as you can about your staff

You should also learn as much as you can about your staff. They are the ones who are going to be working with patients and providing care, so it’s important that they feel comfortable with the program. Ask them what they think would make their job easier or more effective.

Ask for suggestions on how to improve patient satisfaction, quality of care, or staff morale. You may want to consider adding some new features in order to make things easier for your team members—for example:

• A computerized appointment scheduler so they can book appointments without having to wait on hold;

• An online portal where families can check in at home instead of coming into the office; or * An online portal where families can check in at home instead of coming into the office.*A virtual tour guide through each building (or section thereof) so visitors know where everything is located within those buildings.*More FaceTime calls between providers and patients since most people prefer talking via video chat over text messaging or phone calls.*

Ask for feedback from staff members who do not participate in shared decision-making processes

If you ask your staff members what they think about the process, you will likely be able to hear some of the following:

• “I don’t know how to participate in shared decision-making processes.”

• “It would be helpful if there were more opportunities for me to weigh in on decisions that I am not directly involved with.”

• “I’d like another chance at being involved with this next time around.”

These comments are all valuable pieces of feedback because they give insight into how your employees feel about their role within the organization, and how well they feel they are being supported by management. You can also use these responses as an opportunity for further discussion about how best to improve upon their experiences going forward.

Shared Governance is important to an effective healthcare system

Shared Governance is a way for staff to be involved in the decision making process. It allows for better communication between the staff and the board of directors, which helps build trust between both parties. When shared governance is used effectively, it can help improve morale and increase employee satisfaction by giving them more say in how their organization works.

Conclusion

Shared governance is an important tool for healthcare organizations. It can be used to ensure that the health of their patients improves and their staff members feel engaged in the process, which leads to better patient outcomes.