Learning Objective 1: Evaluate the evidence for a shared governance model of leadership in an academic department of nursing.
Learning Objective 2: Discuss implementation of the Institute for Healthcare Improvement’s Framework for leadership improvement in the restructuring and business plan development in an academic department of nursing.
A literature review conducted from 1985-2009 with PubMed, CINAHL, and Education databases using the study keywords yielded 47 articles. The articles were evaluated using the Stetler Strength of Evidence Scale. The research questions were: 1) “What is the evidence for SG in nursing academia?” 2) “What are the fiscal, policy, and human resource outcomes associated with implementing a framework for leadership improvement, restructuring, and business plan development in a department of nursing?”
All existing literature was at levels V and VI using the Stetler Scale. Evidence suggests utilizating SG in the workplace. A comparative analysis of the financial, policy, and human resource outcomes when applying the IHI model of leadership improvement suggests the utility of this framework in facilitating leadership improvement in nursing academia.
There is limited application of SG models in nursing academia. Application of the IHI framework for leadership improvement may contribute to SG and healthy work environments in nursing academia and merits further study.