Vision Shared Goverance Nursing Homes Develop electronic presentation analyze factors influence nursing propose leadership 'strategies operationalize leadership vision practice area 1 Introduce factors influence nursing practice

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This alone warrants the attempt by any institution to implement a system and philosophy of shared governance and both an administration and nursing staff that is more responsive and open.

There have also been clear conclusions drawn from ongoing research that change is needed in the way nursing homes and assisted living facilities are governed and regulated (Walshe 2001). Staffing issues in such facilities and in the nursing industry as a whole have increased pressures on existing nurses, and can compound feelings of inadequacy, non-appreciation, and work stress (Walshe 2001; Wunderlich et al 1996). Nurses themselves can actually be a major force of change in the organizational culture and governance styles that exist in nursing homes in particular, given their level of contact with patients, their families, and administrators (Burger et al 2009). This suggests that a push for shared governance that came as a cohesive and rational move from nurses would be effective and lead to positive change.

A comparison of two mental health networks provides clear evidence of the difference that shared governance can make. The two networks selected for the study were comparable in most regards, including demographics, size, staff level, etc., but differed in the style of governance that was employed (Milward et al 2010). One of the networks relied a greater degree on shared governance, seeking input from nurses and from patients in making administrative decisions, while the other was more "traditionally" structured with administration taking input on a limited basis, but generally making decisions on its own (Milward et al 2010). Indicators of care efficacy, patient and nurse satisfaction, and other factors demonstrate that the network with a shared governance philosophy was more successful in terms of its stakeholders' outcomes than was the network that relied more on administrative discretion and authority than any sense of shared knowledge and power (Milward et al 2010).

It should be clear from the information provided above that shared governance is the preferred style or philosophy of leadership and administration in most nursing settings. In nursing homes and assisted care facilities in particular, where a dearth of regulatory oversight and adequate staffing levels have created significant quality of care and quality of work issues, shared governance could lead…[continue]

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"Vision Shared Goverance Nursing Homes Develop Electronic Presentation Analyze Factors Influence Nursing Propose Leadership 'strategies Operationalize Leadership Vision Practice Area 1 Introduce Factors Influence Nursing Practice" (2011, February 20) Retrieved August 4, 2015, from http://www.paperdue.com/essay/vision-shared-goverance-nursing-homes-develop-49781

"Vision Shared Goverance Nursing Homes Develop Electronic Presentation Analyze Factors Influence Nursing Propose Leadership 'strategies Operationalize Leadership Vision Practice Area 1 Introduce Factors Influence Nursing Practice" 20 February 2011. Web.4 August. 2015. <http://www.paperdue.com/essay/vision-shared-goverance-nursing-homes-develop-49781>

"Vision Shared Goverance Nursing Homes Develop Electronic Presentation Analyze Factors Influence Nursing Propose Leadership 'strategies Operationalize Leadership Vision Practice Area 1 Introduce Factors Influence Nursing Practice", 20 February 2011, Accessed.4 August. 2015, http://www.paperdue.com/essay/vision-shared-goverance-nursing-homes-develop-49781

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