RESUMO
In this article, the authors explore how the role of governance has changed in response to the field of performance measurement and the wide variety of governance trends and share their views and experiences as nurses who have had the opportunity to serve in governance roles. Recommendations are provided for nurse executives interacting with the governance structures of their organizations. Finally, strategies are shared for nurses interested in pursuing governance opportunities in their local communities.
Assuntos
Tomada de Decisões Gerenciais , Conselho Diretor/organização & administração , Administradores Hospitalares/organização & administração , Relações Interprofissionais , Enfermeiros Administradores/organização & administração , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Avaliação de Resultados em Cuidados de Saúde/organização & administração , Atitude do Pessoal de Saúde , Administradores Hospitalares/psicologia , Humanos , Enfermeiros Administradores/psicologia , Recursos Humanos de Enfermagem Hospitalar/psicologiaRESUMO
As hospitals continue to face problems with nursing shortages and difficulty in retaining experienced nurses, they are forced to examine the environment of nursing practice to determine how that environment can be improved. At Henry Ford Hospital, a planning process is underway to establish a more truly professional practice environment for nursing. This professional practice environment is based on a group practice model for inpatient nursing. The group practice model offers the potential for greater clinical and administrative autonomy and collaborative practice with physicians, but may require significant changes in internal budgeting and accounting systems. Several different inpatient group practice models and their implications are discussed.
