Abstract：
BACKGROUND:The discipline of nursing uses a general definition of shared governance. The discipline's lack of a specified theory with precepts and propositions contributes to persistent barriers in progress toward building evidence-based knowledge through systematic study. PURPOSE:The purposes of this article were to describe the development and elements of a program theory approach for nursing shared governance implementation and to recommend further testing. METHOD:Five studies using multiple methods are described using a structured framework. The studies led to the use of Lipsey's method of theory development for program implementation to develop a theory for shared governance for nursing. DISCUSSION:Nine competencies were verified to define nursing practice council effectiveness. Other findings reveal that nurse empowerment results from alignment between the competencies of self- directed work teams and the competencies of organizational leaders. Implementation of GEMS theory based nursing shared governance can advance goals at the individual, unit, department, and organization level. CONCLUSION:Advancing professional nursing practice requires that nursing concepts are systematically studied and then formalized for implementation. This article describes the development of a theoretical foundation for the systematic study and implementation of nursing shared governance.
journal_name
Nurs Outlookjournal_title
Nursing outlookauthors
Joseph ML,Bogue RJdoi
10.1016/j.outlook.2016.01.004subject
Has Abstractpub_date
2016-07-01 00:00:00pages
339-351issue
4eissn
0029-6554issn
1528-3968pii
S0029-6554(16)00016-6journal_volume
64pub_type
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