One instance where the doctor had influenced governance in the community hospital's organization plan was when the hospital had been unable to accommodate the increasing number of patients. Because most of the health care staffs in the hospital are similarly providing their medical service in other hospitals, as with the doctor, there was not enough time for the organization to plan to work on the improvement of the management planning. But, for our doctor interviewee who has a commitment in the delivery of good health care service, he volunteered to organize the management planning and improvement of the organization's structure. However, the doctor did not just individually govern the management planning. Instead, he promoted shared governance within the organization wherein everyone was able to contribute in the improvement of the framework and structure of the community hospital. A body of model employees and staffs were formed to exercise the authority of implementing the management procedures that have been decided. As described by Laura Caramanica (2004), in her article Shared Governance: Hartford Hospital's Experience,

Shared Governance is the administration and deployment of the organization's services through a partnership model of managers and staff. A system is said to "live" where it provides service. In a health care organization this is the point of service known as the patient care unit.

The Nurse

Our next interviewee, the nurse, is also influencing in the governance of the community hospital. In fact, she is among the model hospital staff that helped our doctor interviewee in the planning of management procedures to improve the hospital community. As with our doctor interviewee who applied in the community hospital the good management governance that he saw and experienced from the hospitals where he worked at in the past, the nurse...

Another factor that made her influence the hospital's management planning is her current position as the nursing team leader in the hospital. In fact, as one of her project for the hospital's improvement, our nurse interviewee developed an excellent health care management procedure that is specifically created for the hospital's nursing staff. In a span of one month, piloting the implementation of the management procedures that she created, the community hospital's organization and the community people found an increasing efficiency in health care service of the nursing staff.
Conclusion

With the influences of our two health care providers interviewees, the doctor and the nurse, the delivery of good health care service in the community hospital is continuously being improved and maintained. Our two interviewees have participated in a number of management planning and implementation of strategic health care service system. Hence, because of this, they were able to influence in the governance of the community hospital's entire organization.