An Evaluative Study of the Effects of the Implementation of UBSG on Nurses' Perceptions of Professional Governance

以單位爲基礎分享自治之實施對護理人員專業自治感受的成效

李麗傳(Li-Chuan Lee) ； 楊克平(Ke-Ping Yang) ； 李春蘭(Chen-Lin Lee) ； 吳聖良(Shang-Liang Wu)

《護理研究》 9卷1期 (2001/02) Pp. 5-14

https://doi.org/10.7081/NR.200102.0005

摘要

Health care reform has been a major economic and political challenge in Taiwan. Successful implementation of change in hospitals requires managers to learn new skills. Unit-based shared governance (UBSG) is one innovation used to restructure health care organizations to promote the performance of professionals and to achieve goals for organizations. This research, conducted in a 150-bed community hospital, was a quasi-experimental study designed to evaluate the effectiveness of implementing UBSG. This article describes and compares the degree of nurses' perceptions of professional governance between a UBSG group (n=29) and a control group (n=24). The findings of this study indicate that the majority of UBSG respondents scored at a high level of participation in decision-making and professional practice (p＜.05). Nurses in the UBSG group shared more in professional governance activities (2＜.05). It is suggested that decentralized UBSG within a division of nursing can empower nurses. The study provides an empirical basis for implementing UBSG.

關鍵字

護理人員 ； 決策參與 ； 以單位爲基礎的分享自治 ； 護理專業自治指標

並列摘要

Health care reform has been a major economic and political challenge in Taiwan. Successful implementation of change in hospitals requires managers to learn new skills. Unit-based shared governance (UBSG) is one innovation used to restructure health care organizations to promote the performance of professionals and to achieve goals for organizations. This research, conducted in a 150-bed community hospital, was a quasi-experimental study designed to evaluate the effectiveness of implementing UBSG. This article describes and compares the degree of nurses' perceptions of professional governance between a UBSG group (n=29) and a control group (n=24). The findings of this study indicate that the majority of UBSG respondents scored at a high level of participation in decision-making and professional practice (p＜.05). Nurses in the UBSG group shared more in professional governance activities (2＜.05). It is suggested that decentralized UBSG within a division of nursing can empower nurses. The study provides an empirical basis for implementing UBSG.

並列關鍵字

nurses ； participation in decision-making ； unit-based shared governance (UBSG) ； index of professional nursing governance (IPNG)

參考文獻

Anderson, B., Paden, K. K.(1996).Editorial comments.The Journal of Shared Governance.3(2)

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Daugherty, J., Hart, P.(1993).Shared governance.Nursing Management.24(4)

Davis, P. A.(1992).Unit-based shared governance: Nurturing the vision.Journal of Nursing Administration.22(12)

Deremo, D. E.(1989).Integrating professional values, quality practice, productivity, and reimbursement for nursing.Nursing Administration Quarterly.14(1)