[abstract] MANAGEMENT MODEL TO INCREASE NURSE AUTONOMY AND RETENTION IN THE WOUND CARE AND HYPERBARIC MEDICINE DEPARTMENT

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[abstract] MANAGEMENT MODEL TO INCREASE NURSE AUTONOMY AND RETENTION IN THE WOUND CARE AND HYPERBARIC MEDICINE DEPARTMENT

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Title: [abstract] MANAGEMENT MODEL TO INCREASE NURSE AUTONOMY AND RETENTION IN THE WOUND CARE AND HYPERBARIC MEDICINE DEPARTMENT
Author: Larson-Lohr, V
Abstract: Introduction: In general, management is responsible for all the activities of the department and owns the activities on behalf of the department. Yet it is the nursing staff that is responsible for carrying out the activities and ensuring compliance but are not necessarily accountable and may not be vested in the outcomes. Objective: Implement a management process that increases nurse satisfaction, autonomy, accountability and retention. Overview: A modified Shared Governance model was implemented within the wound center. Three councils were formed. They consisted of Quality, Education and Practice. All staff members choose a council in which to participate and elect a Chairperson. A fourth council, Coordinating Council is then formed. The membership of the Coordinating Council is the Chairpersons of each of the previous mentioned Councils, the nursing director and the medical director. The Quality, Education and Practice councils are responsible and accountable for specific decisions related to their designated areas. The Coordinating Council meets on a monthly basis to review their activity and ensure regulatory compliance. Result: The key to the success of this management change is the transition of the decision-making authority from centralized management to the councils. The councils have demonstrated accountability for specific decision-making, implementation of the decisions and evaluation of the outcomes. Overall, since introducing the Shared Governance model, staff has expressed an increase in job satisfaction through an increase in job autonomy. There has been an improvement in the staff's accountability to each other resulting in a positive impact on departmental communication. Additionally, the staff has demonstrated a higher level of professionalism with in the department and increased ownership of outcomes.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1385
Date: 2003

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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