Shared Governance and the Case for Nurse-Led Practice Choices
Few issues in nursing practice create as much quiet frustration as choices made far from the bedside. A paperwork change appears in the electronic record. A supply procedure shifts. A policy is revised to fix one issue however produces two more during a graveyard shift. Nurses are then expected to adjust rapidly, describe the change to coworkers, and keep care moving without disturbance. When that pattern repeats frequently enough, personnel stop seeming like professionals