Shared Governance as A Pathway to Organizational Excellence: A Suggested Strategy for Selected University Hospital

Ibrahem El-Sayed Aly, Rasha; Mohamed El-Sayed Ghoniem, Nadia

doi:10.21608/ejhc.2021.177972

Shared Governance as A Pathway to Organizational Excellence: A Suggested Strategy for Selected University Hospital

Document Type : Original Article

Authors

¹ Assistant Professor, Nursing administration, faculty of nursing, Port-Said University, Egypt

² Assistant Professor Nursing administration, faculty of nursing, Suez-Canal University, Egypt

10.21608/ejhc.2021.177972

Abstract

Background- Applying a shared governance strategy could develop collaboration
between health care personnel, increase their confidence; develop their personal and professional
skills; and increase their professional profile and accountability. Purpose– developing a
suggested shared governance strategy for Suez Canal University hospital, Egypt: through,
measuring shared governance among health care personnel at the hospital, analyzing the shared
governance,
and
developing
and
validating
a
shared
governance
strategy.
Design/methodology/approach– a methodological design was utilized to conduct the study. the
study sample was composed of 825 health care personnel with different categories (Physicians,
Accountants, Nurses, Pharmacists, Dieticians, and Social workers). Index of Professional
Governance was used and a suggested shared governance strategy was developed and validated.
The fieldwork lasted from April to October 2019. Findings– The study revealed that health care
personnel' ages ranged between 30 and 40 years, median 35.0, Their median years of total and
hospital experience were 11.0 years. 71.5% of them reported that hospital governance has done
primarily by hospital management with some staff input. As well, the highest percentages of them
reported the same results regarding all shared governance dimensions. The shared governance
among health care personnel at Suez Canal University hospitals was generally low, the hospital
had the dominant in total scores of governance 96.6% and all shared governance dimensions.
Originality/value– Despite the vast number of published researches that dealt with Shared
governance as a decentralized approach that gives nurses greater authority and control over their
practice, there is a limited focus in studying shared governance among healthcare personnel as a
whole, especially the university hospitals, which represent scientific models in providing ideal
care. Recommendations, it is a priority for university hospitals to enhance the application of the
suggested shared governance strategy or a suitable governance model that focuses on strong
leadership and a sound shared governance infrastructure; for allowing a professional practice
environment.

Keywords