Shared Governance Structure and the CNO
NSG 6620 Week 3 Discussion Questions SU
NSG 6620 Week 3 Discussion Questions
NSG 6620 Week 3 Discussion Question 1: Shared Governance Structure and the CNO
During the 1980s, nursing and healthcare were suffering from challenges of an acute nursing shortage, rampant nurse turnover, and issues with nurse retention. In the mid-1980s, shared governance was instituted to incentivize and empower nurses. Shared governance is an innovative organizational model promoting staff control and autonomy over nursing practice in areas that were previously controlled by managers.
The concept of shared governance may be a challenge to understand because it is not uniformly applied or operationalized and because of the great diversity in shared governance models. Nurses working in organizations with shared governance models are more empowered and have higher levels of satisfaction in their roles.
Using the readings for the week, the South University Online Library, and the Internet, respond to the following:
Compare the roles of the CNO and nursing directors or managers in a shared governance structure.
What steps can the CNO take to enable smooth operations in such a structure?
Identify two challenges CNOs face when working with a shared governance structure.
Compare and contrast a model of shared governance with an authoritarian or autocratic CNO.
Examine the role of the CNO in working to set parameters for nurses in a shared governance structure.
Comment on the postings of at least two peers.
Evaluation Criteria:
Compared the roles of the CNO and nursing directors or managers in a shared governance structure.
Listed steps the CNO can take to enable smooth operations in such a structure.
Identified two challenges CNOs face when working with a shared governance structure.
Compared and contrasted a model of shared governance with an authoritarian or autocratic CNO.
Examined the role of the CNO in working to set parameters for nurses in a shared governance structure.
Justified your answers with appropriate research and reasoning.
Commented on the postings of at least two peers.
ADDITIONAL DETAILS
Shared Governance Structure and the CNO
Introduction
The Chief Nursing Officer (CNO) is the head of nursing in a hospital or other health care facility. Their role is to ensure that everyone involved with patient safety has the knowledge and skills needed to prevent harm from occurring. This includes ensuring that nurses have access to adequate resources, space and support so they can do their jobs well. The CNO also ensures that there’s an effective system for reporting concerns about patient care or equipment failures so they can be dealt with quickly and efficiently.
Creating a patient safety culture.
The CNO is a key player in creating a patient safety culture. As you’ll see later, the CNO serves as the visible and accessible leader who can help guide staff toward better practices.
The first step toward creating a safer environment for patients is having an open dialogue with your team members about patient safety issues that come up. This may include sharing stories of other hospitals that have improved their processes or discussing how they can avoid similar mistakes at their own institution. You should also make sure everyone understands what constitutes good practice when it comes time to make decisions on behalf of patients—and why certain actions are beneficial (or not).
Advocating for safe practice and care delivery.
The CNO will be the voice of nursing in the organization. They will work with the CEO and other senior leaders to ensure that safe practice and care delivery are priorities at all times. The CNO must be a member of the leadership team, and they will be involved in all major decisions.
Promoting professional practice throughout the organization.
The CNO is a leader in professional nursing practice. She champions the idea that nursing is an art and science, a profession that requires constant learning and development to keep up with the latest research. The CNO encourages her nurses to seek out opportunities to learn new skills through conferences, journal clubs and other educational programs offered by the organization.
The CNO also serves as an educator for nursing students at all levels of education—from pre-nursing students through master’s-level faculty—by providing them with information about what it takes to be successful in their chosen career path within the hospital environment or beyond.
Creating a well-functioning work environment.
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Ensure that the work environment is safe, healthy and comfortable.
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Make sure that the work environment is conducive to the delivery of high quality care.
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Ensure that the work environment is conducive to the development of nursing staff.
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Ensure that you have a shared governance structure which facilitates effective decision-making while ensuring employee participation in shaping organisational policies and practices
Being the link between staff nurses, management and administration.
The CNO plays a key role in the nursing profession and practice. As the link between staff nurses, management and administration, he or she is responsible for:
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The practice of nursing;
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Education and research in nursing;
The chief nursing officer has important roles to play in ensuring that a shared governance structure functions well.
The chief nursing officer is the link between staff nurses and management. This position is also responsible for ensuring that a shared governance structure functions well, including:
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Ensuring that there is effective communication between the CNO and other members of the executive team, including senior executives.
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Working with business unit leaders to make sure they understand how their activities can impact patient care; for example, if new technology might make it easier for nurses to do their jobs or if something needs to change in order for patients’ needs to be met effectively.
Conclusion
In this article, we’ve talked about how a shared governance structure is a key component of a successful nurse workforce. We’ve also outlined some of the most important roles and responsibilities that come with being a chief nursing officer—and we’ve even given you some ideas on how to build one in your organization. If you have any questions or comments, please feel free to leave them below!
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