Organizations have mostly adapted to the planning and organization committee as the primary decision making organs. The collaborative committee meetings are generally based on sound leadership that is obtained through shared governance. The collaborative decision making entails committee members maintaining different roles and working hand in hand with management to achieve the organization's goals. Healthcare organizations have a collaborative committee, which is tasked to advise the hospital management on clinical matters. This paper discusses the observation made during a collaborative decision-making meeting in healthcare service administration, the function of the committee, and the roles of attendees.
Committee Function and Role
The committee meeting's primary function was to discuss different ways to maintain chest pain accreditation for the hospital in the service of patients with cardiac issues. The committee members that attended the meeting include the Emergency Room Physician, Cardiologist, Paramedic from local EMS, Chest Pain Coordinator, EN Nurse Representative, Cath Lab Staff, Cardiac rehab Manager, ICU Nurse representative, and the Floor Nurse representative. The main topics to be covered by the committee included door-to-Balloon times are meeting hospital goal of less than 60min; goals of the first contact time (in the field)-to-Balloon of 90mins or less; the trend of using fentanyl instead of morphine to relieve chest pain; and the importance of Cardiac Rehab after a cardiac event. Each committee member in attendance had different roles. The Emergency Room Physician represented the physician working in emergency rooms that handle cardiac medical issues. The purpose of the Cardiologist was to provide more information concerning examination, treatment, and risk of patients with chest pain that can help the hospital maintain chest pain accreditation. The paramedic from a local EMS as a committee member kept a formal relationship with the hospital to ensure they collaborate and share metrics on the care of chest pain patients (UNC Health Care, 2012). The role of the ER Nurse Representative is to provide the committee with different measures that could be taken to ensure nurses can quickly assess the patients with chest pain, treatment, and patient discharge systems. Chest pain coordinator in the committee is to advise the committee concerning continuing education programs, requirements, maintaining, and completing Chest Pain Accreditation based on topics before the committee. Cath Lab Staff and Cardiac Rehab Manager roles in the committee are to advise on matters concerning recovery procedures that best fit after cardiac events. The ICU and Floor nurse representative role is to inform the committee concerning best practices that can be put in place to improve patient care.
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The Committee Interaction and Process
The meeting started on time with the members of the committee, demonstrating well-organization as all were on time. Based on the committee interaction, several shared governance model aspects were observed. Some of the noted aspects include a common interest climate on shared interest among participants. For instance, the coordinator of the meeting had started by sharing the team agendas, which prepared every member of the main topics to be discussed and the mutual agenda. Sharing of the topics before the discussion also provided each member to prepare various views and questions to ask regarding sections they depend on to ensure the committee agenda is achieved (Sattarzadeh-Pashabeig et al., 2018). Another feature of a shared governance model observed during the committee meeting is the interrelation of members. Each member of the committee communicated freely to one another, indicating the presence of open vertical and horizontal communication. Open communication acted as the foundation to appropriate formal and informal relations, which plays a significant role in effective partnership among members. It was also observed that the interaction of the committee was based on the multiplicity of ideas. The multiplicity of ideas is an aspect of shared governance from the contribution perspective. The committee members discussed the topics in the agenda within different perspectives, an interaction that was characterized by the existence of contradictions and controversies (Anthony, 2004). However, despite differences and disparities between members' opinions, the conflict management aspect was observed during the interaction as the disagreeing parties mutually ending up with a better version of the idea.
The process of arriving at the decisions observed in the committee meeting demonstrated characteristics of shared governance. The committee used a mutual accountability feature of shared governance in decision making, whereby, the coordinator allowed each member of the committee to present their findings and suggestions based on their roles. With each required level of accountability represented within the committee, the members were able to arrive on decisions that are balanced for both sides present. The process of arriving at conclusions involved conscious participatory decision-making, another feature of shared governance. The feature was observed through the transparency exchange of organizational knowledge, great participatory perspectives and attitude, and understanding that each member showed during the discussion and decision making.
Reference
Anthony, M. (2004). Shared Governance Models: The Theory, Practice, and Evidence. The Online Journal of Issues in Nursing . Vol. 9, No. 1, Manuscript 4. Retrieved from https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No1Jan04/SharedGovernanceModels.aspx
Sattarzadeh-Pashabeig, M., Atashzadeh-Shoorideh, F., Sadoughi, M. M., Khachian, A., & Zagheri-Tafreshi, M. (2018). Characteristics of Shared Governance in Iranian Nursing Schools: Several Souls in One Body. Iranian journal of nursing and midwifery research , 23(5), 344–351. doi:10.4103/ijnmr.IJNMR_4_18
UNC Health Care. (2012, November 8). Working Towards Chest Pain Center Accreditation . Retrieved from http://news.unchealthcare.org/som-vital-signs/2012/nov8/working-towards-chest-pain-center-accreditation
