Shared Governance Research Articles

When does group chat promote cooperation in shared resource governance?

When people use shared resources, overextraction can occur. While deliberation tends to mitigate shared resource exploitation problems, the question remains: under what conditions does group chat improve cooperation in shared resource dilemmas? This study analyzes chat and game data from about 1500 rounds of gameplay involving 143 groups across 4 resource types using Sentiment Analysis and Structural Topic Model. We find that, despite their fundamental differences, the 4 games tend to have similar discussions, including strategizing actions, coordinating choices, and socialization, but they differ in which topics explain cooperation within each game. Discussion topics promoting cooperation include coordination in the foraging game (FOR) and long-term goals in the groundwater game (GG). However, discussion topics negatively associated with cooperation include off-topic/socialization in FOR and the irrigation game (IRR) and crop choice affirmation in GG. We suggest that the context in which communication occurs matters, and biophysical characteristics, rules of the game, and levels of uncertainty explain some variations of our findings.

The challenges of diversity in nursing faculty recruitment: the case of Finland

Diversity considerations in hiring faculty in higher education have garnered significant attention globally in recent years. However, analyses of faculty recruitment dynamics outside the United States, particularly in schools and colleges of nursing, have been limited. This paper explores how concepts related to racism apply to recruitment in nursing education, focusing on the specific context of Finland. Despite the increased admission of foreign students to English-language nursing programs, potential biases against the recruitment of nurse educators from foreign backgrounds persist in Finland. Local data, anecdotes, and an analysis of the broader literature suggest that robust diversity, equity, and inclusion (DEI) policies and guidelines are necessary to enhance the experiences of both instructors and students. Additionally, training and support mechanisms may be needed to enable nursing faculty members from foreign backgrounds to thrive and fully participate in shared governance within academic institutions. By examining the challenges and proposing strategies for increasing diversity in Finnish nursing education, this paper aims to contribute to the broader discourse on diversity in nursing as a profession.

Improving Undergraduate Nursing Testing Practice by Developing a Peer-Review Methodology.

Nursing tests are considered a high-stakes method of evaluating students' mastery of learned concepts and a means to prepare students for the licensing examination. After observing a downward trend in nursing program graduates' NCLEX-RN pass rates, an increase in test question issues, and anticipating the NCLEX-RN changes to the NGN format in 2023, the department sought to increase test quality. Using shared governance, faculty mentorship, and evidence-based test practices, a testing methodology and process was created by implementing a test review committee. Implementation of the test review committee demonstrated a significant improvement in the quality of tests administered, facilitated improved faculty test development, and increased student preparedness for the 2023 NGN examination by demonstrating a 100% pass rate. Although implementing the test review committee and changing test practice required continued faculty support and mentorship, the outcome produced a standardized quality testing process that demonstrated student success. [J Nurs Educ. 2024;63(10):679-685.].

Empowering Night Shift Through Building a Stronger Foundation for Shared Governance.

A 341-bed Magnet® designated facility expanded its shared governance structure by incorporating a night shift council. The formation of this council allowed for more robust communication and collaboration between disciplines among night shift staff while increasing engagement scores. The council has established many initiatives to support night shift staff that can be adapted for use by other hospitals and health systems interested in expanding their shared governance structure.

A framework for identifying opportunities for multisectoral action for drowning prevention in health and sustainable development agendas: a multimethod approach

IntroductionThe 2023 World Health Assembly resolution 76.18 committed the World Health Organization to the coordination of drowning prevention efforts, including those of United Nations (UN) agencies. Here, we aim to...

A systematic review of the conceptualization, interpretation, and implementation of shared governance in post-secondary contexts

ABSTRACT Shared governance has emerged as an incrementally inclusive modification to common Western forms of governance, which are often top-down, bureaucratic, and individualistic in nature. Anti-oppressive movements call for structural changes which necessarily involve examining where and how decisions are made in post-secondary institutions. This systematic literature review synthesizes scholarship on shared governance in post-secondary settings. This research is guided by the Joanna Briggs Institute (JBI) guidelines for conducting systematic reviews, a priori protocol to steer the research process, and the PRISMA guidelines for reporting systematic reviews. A review of 48 empirical papers published in peer-reviewed journals resulted in five main themes for shared governance in higher education: potentially interested parties; characteristics of governing leaders; principles and values of shared governance; processes of shared governance; and models of shared governance. We also identified gaps in the shared governance literature: underrepresentation of community (Indigenous and non-Indigenous) as well as Indigenous and diverse ways of knowing, and lack of attention to the diverse identities within the interested parties. We proceed to propose inclusive governance as a more appropriate term than shared governance.

A qualitative exploration of nurses’ perspectives, experiences, and obstacles with shared governance

ABSTRACT This study explores the nurses’ experiences of shared governance in hospitals in Saudi Arabia to identify the factors that enhance and hinder nurses’ shared governance and nurses’ participation in decision-making processes. Through a qualitative descriptive research approach, the study utilized semi-structured interviews with 13 registered nurses selected via purposive sampling. Data were coded and condensed using thematic analysis. Three main themes were identified: participants’ perceptions about the concept of shared governance, factors influencing nurses’ participation in decision-making processes, and the consequences of shared governance. Participating nurses had a limited understanding of shared governance. Most were exposed to the concept of shared governance for the first time and could not comprehend or interpret it. The study found that nurses have limited knowledge of shared governance, but it is universally recognized that nurses’ involvement in decision-making is important. Implementing shared governance at the unit level has positive outcomes such as increased employee satisfaction, creativity, and trust in managers. The study highlights the influence of the work environment and the benefits of shared governance and inclusive leadership. Empowering nurses in decision-making can enhance engagement, job satisfaction, and patient outcomes.

Telephone hotlines for infectious disease outbreaks in Africa: A review and qualitative study.

Mobile health interventions like telephone hotlines face challenges that may threaten their use, adoption and sustainability in Africa. We sought to understand the barriers and facilitators for sustainability of telephone hotlines used in infectious disease outbreaks in Africa using a scoping review and a qualitative study. Participants form 12 African countries and Database searches. Databases were searched for articles on the barriers and/or facilitators in operating telephone hotlines for outbreaks in Africa. One-on-one interviews and focus group discussions with 30 participants from 12 African countries were also conducted. Emerging themes from the review and interviews were identified and synthesised to focus on barriers and facilitators for the sustainability of the hotlines. The search identified 1153 citations, and 25 studies were finally included. The articles were from 20 African countries. The government was the main source of funding in four countries. Barriers with calls and data management were the most frequent. Human resource barriers such as limited staff, high staff turnover, a lack of incentives and motivation were also significant. Financial barriers were the high cost of operation and huge dependence on external funders. Technological and infrastructural hurdles included limited Internet and phone coverage, malfunction and a lack of interoperability of software. Transitioning to either complete or shared government ownership with diversification and integration of the hotline into routine use was the main facilitator for sustainability. Strengthening technical capacity in telephone hotlines and ensuring financial sustainability are critical. Increased government support is needed. More studies on costing will help in developing financial sustainability models for Africa.

Shared governance

Prepare nurses to lead.

“A Seat at the Table”: A Conceptual Model to Frame Shared Governance from the Perspectives of Faculty Senate Presidents

“A Seat at the Table”: A Conceptual Model to Frame Shared Governance from the Perspectives of Faculty Senate Presidents

Commission on collegiate nursing education standards inspire a new model of shared governance

PurposeA school of nursing re-envisioned its faculty organization structure and created a Shared Governance model based on the Commission on Collegiate Nursing Education Standards (CCNE). The model promotes shared decision-making and encourages nursing faculty and staff to exercise greater control over their professional endeavors. Principal resultsThe Shared Governance model launched as a one semester pilot before it was formally adopted by faculty. Faculty and staff are organized into four councils, each one representing the CCNE standards: Governance, Institutional Resources, Curriculum, and Quality. The Academic Leadership Team meets regularly with Shared Governance Council Chairs to foster communication and ensure a cohesive, proactive approach to conducting school of nursing business. Major conclusionsThe Shared Governance model has provided an excellent mechanism for new school of nursing faculty and staff to become oriented to their roles and the culture of academia. It has broken down silos and increased connections across programs and campuses. Ongoing conversations about the priority work of the school of nursing and each council's coordinated effort to document fulfillment of the Standards gave structure to preparation for our accreditation visit. The accreditation process is no longer seen as the sole responsibility of the Dean and Associate Deans.

Shared Governance Through Bylaws: Transformation Within a College of Nursing.

Enhancing faculty voice and promoting shared governance within academia has long been called for but has not been well-reported. A college of nursing in the midwestern United States identified shortcomings in its organizational structure including lack of faculty voice, communication barriers, lack of faculty participation in decision making, and academic programs operating independently. A workgroup was formed to transform the bylaws to promote shared governance, including faculty voice, equality, and engagement. The bylaws were revised and presented to faculty for discussion, further revisions, and vote. The revised bylaws were approved and implemented in August 2021. Through transformation of the bylaws, the college's 12-committee structure was reconceptualized to five standing committees and 13 subcommittees. Clear communication lines and cross-committee collaboration was established to break down the former academic program silos. Faculty with primary teaching assignments are equally represented throughout the structure with voice, vote, and responsibility. [J Nurs Educ. 2024;63(5):277-281.].

Protecting Dayton’s Shared Governance by Countering Faux Narratives of Russia’s Influence in Bosnia and Herzegovina

It is well-known that Russia seeks to undermine the Western order in the Balkans, such as supporting Serbs in their rejection of NATO membership for Bosnia and Herzegovina (BiH). However, some assertions of Russia’s influence discussed here show no merit and seem to have been brought to delegitimize the Western installed peace order vital to the stability of the region: the 1-2-3 Dayton Peace Agreement (DPA) with one state, two entities, and three constituent peoples (Bosniaks, Serbs, and Croats). The meaningless assertions include disinformation against High Representative Schmidt as a Russia man; the misrepresentation of the U.S. -E.U. led electoral reform as the one benefitting Russia; the frequently repeated falsehoods that NATO and EU member state Croatia is aligned with Putin or that some U.S. officials embrace Russia’s values. Such disinformation narratives do not show the ties between the supposed Russian assets and Kremlin, nor do they demonstrate that the alleged pro-Russian actors pursue pro-Kremlin policies. Instead, they tend to be based on the ludicrous claims that the very support for the Dayton categories of ethnic power-sharing reflects the embrace of Russia’s values under President Putin. Striking at the core of the Dayton peace bargain, the anti-Dayton unitarists want the DPA to guarantee BiH’s external borders, while urging the international community to dismiss the DPA designed two-entity state structure (important to Serbs) or ethnic power-sharing (important to Croats) to impose a centralized, unitary state with a majority rule, or the so-called “civic state.” However, besides thwarting (Serb) secessionism and (Croat) separatism, the purpose of Dayton has been to prevent (Bosniak) majoritarianism. The intensity of the debate surrounding the disinformation activities discussed here shows that--though the DPA still remains relevant to the BiH postwar peace and the Western Balkans stability--the consensus on what Dayton is or should be is now collapsing.

Bureaucracy's Good News: A Quiet Gender Revolution

An unnoticed breakthrough has occurred over the past generation in American public administration. The top level of federal governance is no longer a man's world. It is a woman's world as well. Female leaders increasingly occupy top executive positions at the levels of presidency, cabinet and agency. This revolution, like other social upheavals of our time, has significant implications for shared power, deserved rights and effective governance.

The urban political ecology of antimicrobial resistance: A critical lens on integrative governance

The objective of this paper is to integrate Urban Political Ecology (UPE) as a theory for identifying under-exposed urban dimensions of Antimicrobial Resistance (AMR). A UPE lens allows us to conceptualize urbanization as a ubiquitous socio-ecological process and an interpretive frame that could inform AMR governance strategies across related contexts by: a) situating AMR risks in relation to urbanization processes shaping social and political co-determinants of such systemic threats as climate change; b) aligning UPE scholarship with One Health (OH) approaches that address AMR to reveal the under-exposed link of AMR to environmental threats and broader structural dimensions that influence these threats; and c) identifying shared AMR and environmental governance pathways that inform the rationale for more equitable governance arrangements. We delineate a context in which the speed and scale of human activity in the larger context of urbanization, driven by global market integration strategies, impacts human-animal-environmental health threats such as AMR. We demonstrate how UPE scholarship can be leveraged to offer theoretical depth to approaches considering the interdependencies of AMR and climate change threats. We then propose a strategic approach focused on identifying shared governance pathways and intersectoral accountability frameworks to address upstream structural drivers of AM-Environmental threats. The co-benefits of a UPE-informed framework to human-animal-environmental health that leverages enabling policy environments to foster a more collaborative, equitable and sustainable approach to address systemic global health threats are clarified. Just as the concept of “health in all policies” emphasized taking health implications into account in all public policy development, the integration of UPE in AMR governance arrangements would emphasize the need to take other sectors into account through an intersectoral whole-of-government approach that fosters shared AMR - climate change governance pathways.

Shared governance in the plant holobiont and implications for one health.

The holobiont Holobiont theory is more than 80 years old, while the importance of microbial communities for plant holobionts was already identified by Lorenz Hiltner more than a century ago. Both concepts are strongly supported by results from the new field of microbiome research. Here, we present ecological and genetic features of the plant holobiont that underpin principles of a shared governance between hosts and microbes and summarize the relevance of plant holobionts in the context of global change. Moreover, we uncover knowledge gaps that arise when integrating plant holobionts in the broader perspective of the holobiome as well as one and planetary health concepts. Action is needed to consider interacting holobionts at the holobiome scale, for prediction and control of microbiome function to improve human and environmental health outcomes.

Are stock buybacks in hospitality firms associated with outstanding executive stock options?

Purpose Outstanding unexercised stock options can motivate managers to engage in actions that increase the value of their company’s stock, including buying back their firm’s stock. The objective of granting stock options to managers is to align their interests with stockholders by tying a portion of their compensation to the company’s stock performance. However, unexercised stock options may have unintended consequences by providing managers with a vested interest in artificially boosting stock prices via stock buybacks. The primary objective of this research is to study the main factors that influence firms' buyback decisions amongst hospitality firms at a time when these firms were clamoring for taxpayer bailouts. Results from logistic regression seem to suggest that outstanding executive stock options are a major contributory factor in a firm’s buyback decision. Estimates also indicate that larger, more profitable firms will likely engage in stock buybacks. These findings survive a battery of tests.Design/methodology/approach The authors use logistic regression to predict the probability of a firm’s buyback decision based on a given set of exogenous explanatory variables.Findings The paper supports the hypothesis that buyback decisions are guided by the motive to prop support stock prices in the presence of outstanding restricted stock options/warrants granted to firms' executives.Research limitations/implications The paper focuses on the buyback decision of U.S. hospitality firms. The results, therefore, might not be generalizable to firms in other industries or countries.Practical implications U.S. share repurchase corporate policy and government regulation needs to be revisited given the economic imperative for firms to invest in activities to restore employment and put them in a position for economic recovery.Social implications Public criticism of the size, structure and form (i.e. loan vs grant) of COVID-19 bailouts warrants an examination of whether the factors that drive hospitality and tourism firms to repurchase shares support economic recovery.Originality/value Consistent with agency theory, the authors find a significant positive association between outstanding restricted stocks and a firm’s decision to support the stock prices by buying back shares.

The Impact of Shared Governance Model’s Implementation on Professional Governance Perceptions of Nurses in Saudi Arabia: A Randomised Controlled Trial

Objective. This study aimed to evaluate the impact of the shared governance model application on the level of perceived professional governance among clinical nurses in a tertiary hospital in Riyadh. Background. Professional governance continues traditional governance, shared governance, and self-governance. Shared governance (SG) is the engagement of clinical nurses in decision-making at different levels. This empowers nurses, increases job satisfaction, improves clinical outcomes, and enhances patient satisfaction. Methods. This randomised control trial in which researchers distributed the Index of Professional Nursing Governance (IPNG) to a random sample of 440 nurses working in a 1200-bed tertiary hospital in Riyadh and divided into experimental and control groups. The intervention included designing and implementing a nursing shared governance model at the hospital level; professional governance was measured before and eight months after implementation. The IPNG was used to measure nurses’ perceived level of professional governance before and after the intervention. The sample was divided into experimental and control groups. Results. By comparing experimental and control groups, there was no statistically significant difference between them regarding professional governance subscales and the total IPNG scores before the intervention. At the same time, there was a considerable difference between them after the intervention. Moreover, the scores of the six professional governance subscales and the overall IPNG scores significantly increased after the intervention in the experimental group. They showed no significant difference in the control group. Conclusion. Designing and implementing specific shared governance structures and processes effectively enhanced nurses’ perceived level of shared governance at the hospital, as evidenced by significantly higher postintervention IPNG scores. Elements of the shared governance model that proved effective included engaging nurses in decision-making at various organizational levels and empowering their involvement.

Abstract TP59: Cultivating Stroke Nurse Champions Through Shared Governance

Background and Issue: Shared governance (SG) is an organized forum where bedside nurses are engaged in decision-making about professional practice, QI, and research to improve patient outcomes. Nursing engagement in SG has been linked to promoting improved nursing and patient outcomes. At a CSC, nurses did not have an organized forum to collaborate across units to develop EBP standards in the stroke population. Bedside nurses had limited knowledge of QI methodology and were unsure how to organize cross-unit projects. Purpose: To implement a SG forum aimed at improving the quality of care and patient outcomes in the stroke population through nursing engagement, collaboration, and effective communication. Methods: The Stroke Nurse Champion (SNC) Committee was assembled in November 2020. A charter was developed to organize the meeting. Members include bedside nurses, educators, managers, supervisors, stroke coordinators, nurse practitioners, and a CNS. Meetings were held monthly virtually and in person. The project outcomes were to (a) develop nurse practice standards, (b) enhance nursing education offerings, and (c) develop cross-unit stroke care QI initiatives. Results: SNCs developed and implemented local and corporate initiatives by reviewing literature, identifying barriers, recommending solutions, and identifying data to support evaluation. Initiatives included the creation of practice standards defining nursing assessments for the stroke population, implementation of the Yale Swallow Protocol, optimization of the EHR to address inefficient documentation of nursing assessments, and revision of written patient education to address literacy and grade levels. Peer-led in-hospital stroke alert case reviews prompted the implementation of a QI project to decrease time-to-treatment. To improve adoption of standards, unit-based checklists, tip sheets, stroke boards, and bedside resource books were developed. Conclusion: The SG forum provides a platform for effective collaboration across nursing units among bedside nurses and nursing leaders to develop practice standards, analyze data, identify QI initiatives, and enhance education.

Interprofessional Educational Needs for Shared Governance of Integrated Care.

This study investigated the educational needs of integrated care among professionals in the public sector of healthcare and social care services in South Korea. A cross-sectional secondary data analysis was performed. Original data were obtained from 10 metropolitan communities with a convenience sample of 210 integrated care professionals. The Borich Needs Assessment Model and the Locus for Focus Model were used to examine the priority educational needs of each integrated care professional. This study analyzed the key details of educational needs in integrated care by focusing on the competencies of integrated care approaches for person-centered care, interprofessional collaboration, and community involvement. The core educational needs of community care administrators, care coordinators, healthcare and social care providers, and community health champions, which are common to all professionals, and the specific educational needs for each type of professional were demonstrated, which contained specific content to implement integrated care. This study provides an opportunity to comprehensively understand the educational needs of integrated care professionals based on their competencies. They want better interprofessional cooperation through networking and collaborative strategies. The results of this study may be utilized as fundamental data by future instructors to provide evidence-based education programs.