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Staff Nurses Lead the Way for Improvement to Shared Governance Structure

Moore, Shelley C. MSN, RN; Wells, Nancy J. DNSc, RN, FAAN

JONA: The Journal of Nursing Administration: November 2010 - Volume 40 - Issue 11 - p 477-482
doi: 10.1097/NNA.0b013e3181f88b7a

The Magnet® model encompasses structural empowerment, transformational leadership, exemplary professional practice, and new knowledge, innovations, and improvements. As the American Nurses Credentialing Center reminds us, great leaders, structures, and nurses lead to great knowledge, innovation, and outcomes. One organization experienced the wisdom in this model through restructuring the systemwide staff nurse councils. The authors describe the steps by which this restructuring was accomplished and some of the positive effects on the work environment.

Authors' Affiliations: Director, Shared Governance Implementation (Ms Moore), Director, Nursing Research, Vanderbilt University Medical Center (Dr Wells), Nashville, Tennessee.

Ms Moore is now assistant professor of nursing at Middle Tennessee State University, Murfreesboro.

Corresponding author: Ms Moore, Middle Tennessee State University, PO Box 81, Murfreesboro, Tennessee 37132 (;

Funding: The authors acknowledge grant support (1 UL1 RR024975 from NCRR/NIH) was used for data collection.

© 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins