At its start, shared governance requires the education and support of organizational executives, managers, and point-of-care staff. The challenge for administrators in creating a shared gover-nance is (select all that apply):

Question

a. implementing the philosophy of accoun-tability.
b. relinquishing control of decision-making power.
c. creating the structure that supports shared governance.
d. developing a culture that supports, encou-rages, and maintains it.
e. justifying the cost in terms of personnel time, effort, and financial commitment.

Answer 1

A, D, E
All levels of an organization must collaborate on a shared purpose to become innovative and ef-ficient. The challenge for administrators is not in creating the structure that supports shared go-vernance but, rather, in developing a culture that supports, encourages, and maintains it. More than just the structure needs to be created; the philosophy of accountability must be implemented as well. Perhaps the greater challenge for administrators is justifying the cost in terms of person-nel time, effort, and financial commitment. The CNO needs to build the cost of maintaining shared governance into the operational budget for it to become successful.