Collective Action and Shared Governance

Question 1

Cultural and Structural Frame

Answer 1

Culture
- Dictates the success or failure of initiatives
- Promote a culture of transparency, trust, and engagement
High Reliability Organizations
Culture of Safety

Question 2

Principles of High Reliability

Answer 2

Preoccupation with Failure
Reluctance to Simplify
Sensitivity to Operations
Deference to Expertise
Commitment to Resilience

Question 3

components of Healthy Work Environment

Answer 3

Supports excellence in nursing practice
Characteristics of Healthy Work Environment
Zero Tolerance for Workplace Violence, Bullying, and Incivility
Adoption of Standards for a Healthy Work Environment

Question 4

Standards for a Healthy Work Environment

Answer 4

Alignment with the American Association of Critical Care Nurses (AACN, 2016)
Skilled communication
True collaboration
Effective decision making
Appropriate staffing
Meaningful recognition
Authentic leadership

Question 5

Workplace Violence and Incivility

Answer 5

Violence may occur external or internal to organization
Negative impact in many ways
Can be intradisciplinary and/or interdisciplinary
Both may create threats to patient safety and/or nurse safety

Question 6

Professional Practice Responsibility

Answer 6

Professional Governance

Organizational strategy
Nurses have ownership, autonomy, input into practice
A process of shared decision making and accountability
Way to empower nurses

Question 7

Magnet® and Pathway to Excellence® Recognition

Answer 7

Characteristics that produce:
Improved patient outcomes
Attracts and retains nurses
Demonstrates exemplary professional practice
Transformational leadership and evidence-based practices.

Question 8

Collective Action

Answer 8

Activities that are undertaken by a group of people who have common interests.

Question 9

examples of collective action

Answer 9

Parishioners contribute to a mission.
Nurses collaborate to achieve Magnet® designation.
Delivery of high-quality patient care (24/7)

Question 10

Collective Bargaining

Answer 10

Process of negotiations between employers and groups of employees
Usually related to salary or work conditions

Question 11

Unionization

Answer 11

Union is an organization of workers who have come together to achieve common goals.
Cooperative and collaborative manner
Important for the safety and quality of care
Nurses have legal right to bargain.
Low rate of unions in nursing

Question 12

conclusion of impact of shared governance

Answer 12

Improved outcomes, lower cost, increased job satisfaction are more likely with healthy work environments.

Shared governance and collection action create impact with true collaboration.

Healthy workplace environments are key to improved outcomes for everyone.