Shared Governance: The Essentials for Building Competencies and Measuring Progress

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Shared Governance: The Essentials for Building Competencies and Measuring Progress

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Shared Governance: The Essentials for Building Competencies and Measuring Progress

At the heart of shared governance is a collective effort in achieving a greater good for the patient. This book provides the tools to help you build competencies and measure progress, processes, and outcomes for organizational shared governance with the goal of improved staff satisfaction, productivity, and patient care.

By providing a broad base on which to begin, this book not only allows you to manage your own contributions toward shared governance but also outlines ways to engage internal and external stakeholders. These can include leadership, educators, interprofessional team members, and multidisciplinary colleagues.

Authors Diana Swihart and Robert G. Hess provide tools to make daily operation of shared governance meaningful, successful, and sustainable. Through various tools, worksheets, and surveys, this resource will help you organize your efforts in fostering a culture of shared governance.

This book will help you:

  • Understand how to build competencies in shared governance
  • Identify the principles and newest instruments used in measuring shared governance
  • Explore resources available to help you continue to build, mature, and sustain your shared governance competencies, measurements, and processes
  • Evaluate your infrastructure within six domains of measurement

Published: April 2019

Page count: 114
Dimensions: 7" X 9" perfect bound
ISBN: 978-1-68308-756-4

Table of Contents



Principles of Shared Governance

Part 1: Competencies for Shared Governance

Definitions Related to Competence, Competency, and Shared Governance
How Competencies in Shared Governance Are Selected
Goals, Competency Levels, and Outcomes
Wright's Competency Assessment Model
Putting It All Together
Identifying Competencies in Shared Governance

Part 2: Measuring Shared Governance

Quantitative Measures of Governance
When and How to Measure
Research on the Evidence and Principles of Shared Governance
Six Dimensions for Measurement
Research on Measuring Shared Governance
Effectiveness of Shared Governance Councils: Council Health Survey
Notes on Using the IPNG and IPG and Council Health Survey

Part 3: An International Clearinghouse for Research and Resources for Building Competencies and Measuring Shared Governance

Forum for Shared Governance
Founding the Forum
The Mission
The Tools
Accreditation in Shared Governance
Online Research on Shared Governance
More Collaborative Resources and Opportunities

About the Authors

Diana Swihart, PhD, DMin, MSN, CS, RN-BC, P-PCA, FAAN, CEO and managing partner for the American Academy for Preceptor Advancement, enjoys many roles in her professional career, practicing in diverse clinical and nonclinical settings. An author, speaker, researcher, educator, mentor, and consultant, she holds graduate degrees in nursing and leadership and doctorates in theology and ministry. She continues to provide operational leadership for the shared governance processes for national and international organizations as a consultant and liaison to help facilitate the application of evidence-based practice and research.

Dr. Swihart is a member of Sigma Theta Tau International, the Nurses Organization of Veterans Affairs, the V­eterans Educators Integrated Network, and several professional advisory boards. She has published and spoken internationally on nursing, shared governance, competency assessment, continuing nursing education, nursing and servant leadership, new employee orientation, professional nurse development, building effective preceptorships, and evidence-based practice in clinical settings. During her career, she has served as a consulting partner with the Forum for Shared Governance, an American Nurses Credentialing Center (ANCC) Magnet Recognition Program® appraiser, a treasurer for the National Nursing Staff Development Organi­­zation (now the Association for Nursing Professional Development), and a commissioner on ANCC’s Commission on Accreditation. In 2015, she was inducted into the American Academy of Nursing for her work in preceptor specialty practice and certification.

Robert G. Hess Jr., PhD, RN, FAAN, is an educator, editor, author, consultant, and the founder and CEO of the Forum for Shared Governance. He recently retired from his day job of 26 years where he created and managed the larg­est continuing education content team in nursing, which also encompassed 23 other healthcare professions, for a company that started out as Nursing Spectrum and progressed through iterations as Gannett Healthcare; OnCourse Learning, Healthcare; and Relias Healthcare. His last official title was executive vice president, chief clinical executive. An award-winning author, he has writ­ten more than 150 articles for numerous journals and books. He is the former vice chair of the ANCC’s Commission on Accreditation.

In 2008, Dr. Hess was named a Fellow of the American Academy of Nursing for his global work in shared governance. In 2018, he established an accreditation program for organizations that could quantify real shared governance. The Forum for Shared Governance is the only organization accrediting implementation of quantifiable interprofessional and organizational shared governance structures, processes, and outcomes nationally or internationally.