Work redesign and shared governance represent two of the most popular administrative innovations in contemporary nursing. Whereas work redesign creates changes in the content of nurses' jobs, shared governance addresses the organizational context within which nurses are employed. Although the content and context of nurses' work are closely interrelated, many organizations have attended to one of these issues, but failed to give consideration to the other. Building on this background, the state of the art in nursing redesign and restructuring is summarized, and emerging directions in job and organizational design are identified.
Ann Scott Blouin, PhD, MBA, RN, Senior Manager, Ernst & Young LLP, Chicago, Illinois, Mary Crabtree Tonges, MSN, MBA, RN, Consultant, The Center for Case Management, Inc., South Natick, Massachusetts.