Shared Governance
Shared governance is described by Porter-O’Grady (2003) as shared decision making between line staff and organizational leaders. Shared governance empowers direct care workers to become part of the decision-making process (Burger et al., 2009). Brown and Miller (2003) refer to this as decentralizing decision making, explaining that when the administrator or unit manager makes decisions regarding a person’s care, staff members are not able to personalize the care they provide and PCC decreases. Therefore, input and feedback from staff who work at the bedside is critical for decisions regarding changes to policies and procedures, redesigning the physical environment, and determining the effect of changes on daily workflow (Burger et al., 2009).