Article: The Development of a Shared Governance Model In the Ambulatory Setting.

FIRST INTRODUCED in the United States in the late 1970s, shared governance is a system of management that creates an environment of empowerment for staff nurses (Geoghegan & Farrington, 1995). Totten and Scott (1993) suggest that the concept of shared governance was "developed in response to an identified need for staff nurses to have more control over their institutional working environment" (p. 28). Another concept of the shared governance theory, as defined by Porter-O'Grady (1991), is that organizations must be transformed in a way that provides for participation and ownership. Shared governance is an organizational model offering that opportunity. Nurses at every ...

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