Shared Governance, Third Edition

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Shared Governance, Third Edition

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Shared Governance, Third Edition: A Practical Approach to Transforming Interprofessional Healthcare

Diana Swihart, PhD, DMin, MSN, APN CS, RN-BC
Robert G. Hess, Jr., RN, PhD, FAAN
With a foreword by Tim Porter-O'Grady, DM, EdD, ScD(h), APRN, FAAN, FACCWS

Shared Governance, Third Edition, is your complete shared governance toolkit and has more than 60 helpful tools, from policies and procedures, to decision-making aids, to templates for councils. Plus, the book incorporates the most widely used and respected tools for measuring the impact of shared governance programs on the quality of care: the Index of Professional Governance and Index of Professional Nursing Governance, created by the book’s coauthor—and founder of the Forum for Shared Governance—Robert G. Hess, Jr.

This book will help you change your culture for the better and begin a true method of shared governance. If previous attempts at shared governance have stalled or failed, the new edition provides helpful strategies for changing course and building a truly effective model.

Take a look at the Table of Contents:

Chapter 1: Introduction: The Concept Behind Shared Governance

  • Four Principles of Shared Governance
  • Interdisciplinary Shared Governance
  • Inter-Professional Shared Governance
  • Shared Governance Models and Professional Practice Environments
  • Shared Governance and Relational Partnerships


Chapter 2: Design a Structure to Support Shared Governance

  • Basic Requirements of All Shared Governance Systems
  • Structural Process Models of Shared Governance (Congressional, Councilor, Administrative, Unit-Level)


Chapter 3: Build a Structure to Support Shared Governance

  • Part One: Implementing Shared Governance
  • Part Two: Leading Strategic Change
  • Part Three: Shared Governance Systems: Perspective and Format
  • Designing the Shared Governance Process
  • Part Four: Bylaws and Articles: Formalizing the Shared Governance Structure
  • Part Five: Redesigning Shared Governance


Chapter 4: Building the Unit-Level Practice Council for Implementing Shared Governance at Points of Service

  • Building Relationships: Interprofessional and Interdisciplinary Teams
  • Building the Structure for Unit-Level Practice Councils (Microsystem Level of Shared Governance)
  • How Shared Governance Can Be an Integrating Structure in Healthcare Organizations


Chapter 5: Implementing Shared Governance at the Organization Level: Roles of Stakeholders

  • Leadership Partners and the Importance of the CNO and Middle Managers in Shared Governance
  • Union Partners in Shared Governance
  • Community Partners in Shared Governance
  • Patients as Partners in Shared Governance


Chapter 6: Measure Your Process and Outcomes at the Point of Service

  • Measurement Tools: IPNG and IPG
  • Research on the Evidence and Principles of Shared Governance
  • Research on Shared Governance in a Government Agency
  • Six Dimensions for Measurement
  • Forum for Shared Governance


Chapter 7: Case Studies: A Snapshot of Shared Governance and Best Practices

  • Implementing Shared Governance in U.S. and Global Communities


Chapter 8: Relationships for Excellence: ANCC Magnet Recognition Program®

  • International Organization for Standardization 9001:2008 Quality Management
  • The Relationship Between Shared Governance and ANCC Magnet Recognition Program®
  • The Relationship Between Shared Governance and ISO 9001:2008 Quality Management System


Chapter 9: Tips for Success

  • Tips and Best Practices (From Interdisciplinary, Interprofessional, Direct-Care Nurses, Team Leaders)


Chapter 10: An International Clearinghouse for Research and Resources

  • Founding of the Forum for Shared Governance
  • Cyber Community of Participants in Shared Governance
  • Online Research of Published and Unpublished Research on Shared Governance


Chapter 11: Conclusions and Recommendations: Where Do We Go From Here?


Appendix A: Index of Professional Nursing Governance (IPNG)

Appendix B: Index of Professional Governance (IPG)


  • Provides a professional, proven framework for developing and supporting effective shared governance within the healthcare environment
  • Includes a core collection of important tools, best practices, processes, adaptable forms, and training materials for designing, implementing, and evaluating shared governance within the organization
  • Features updated and comprehensive information related to new research, the latest IPNG and IPG measurement tools, and information on the interprofessional and interdisciplinary approaches to shared governance
  • Will help your organization enhance staff autonomy and increase competency and accountability
  • Will help you build a collaborative relationship among units and departments

About the Authors:

Diana Swihart, PhD, DMin, MSN, APN CS, RN-BC, is an internationally known speaker, author, educator, and consultant on topics related to preceptors, shared governance, competency assessment, professional development, servant and transformational leadership, professional research, and evidence-based practice. In 2008, her publication Nurse Preceptor Program Builder: Tools for a Successful Preceptor Program, Second Edition, was selected as a core resource for the national VHA RN Residency Program. Dr. Swihart is the CEO for the American Academy for Preceptor Advancement.

Robert G. Hess, Jr., RN, PhD, FAAN, is an educator, editor, author, consultant, and the founder of the Forum for Shared Governance. He currently serves as executive vice president of global programming for Gannett Education. An award-winning author, he has written more than 100 articles for numerous journals and books. He is the former vice chair of ANCC’s Commission on Accreditation. In 2008, Dr. Hess was inducted as a fellow into the American Academy of Nursing for his work in shared governance.

With a foreword by Tim Porter-O'Grady, DM, EdD, ScD(h), APRN, FAAN, FACCWS

Continuing Education:

If you would like to find out about the availability of nursing contact hours on this or any other HCPro nursing book, please visit our Continuing Education information page, here.

Published, August 2014