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. 2020 Feb;50(2):104-108.
doi: 10.1097/NNA.0000000000000849.

Measuring Council Health to Transform Shared Governance Processes and Practice

Robert G Hess Jr  1 , Jennifer I Bonamer, Diana Swihart, Stacey Brull
Affiliations

Measuring Council Health to Transform Shared Governance Processes and Practice

Robert G Hess Jr et al. J Nurs Adm. 2020 Feb.

Abstract

Objective: The aim of this study was to develop a valid, reliable instrument to measure the effectiveness of shared governance councils BACKGROUND: The work of shared governance, that is, the decisions, takes place in its structures, notably, the councils. A literature search yielded no formal instrument for evaluating how these councils function.

Methods: A 4-phase process was used to generate valid items to measure shared governance council effectiveness, including content validity by experts, a pilot for feasibility, a larger pilot for internal consistency, and an exploratory factor analysis to delineate a final instrument.

Results: More than a dozen experts and participants from nearly 30 healthcare organizations contributed to the final development of the 25-item Council Health Survey instrument. Items for measuring council effectiveness at either the unit or division level were grouped in areas of structure, activities, and membership.

Conclusions: When evaluating shared governance, nurses should focus on councils themselves, in which much of the work of shared governance occurs.

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