Collaborative Decision Making Through Shared Governance


Collaborative committees for any organization are very vital for the better functioning of any committee as it facilitates proper role taking and their performance in those roles. The collaborative committees are the ones that the entire organization or institution and their committee members use as I have connective responsibilities that can guide the organizations. I chose to attend a health care meeting in my work place and observe how the committee through the shared governance discuss and work. In this paper, I will discuss what I mostly observed in the meeting chamber those who were present and the roles they play in that committee. Also, I will talk about the team members interaction and report on the observation I made in their process of decision making and if it is a shared governance or not (Marquis & Huston, 2016). Since the committees of healthcare are composed of very enlightened persons with different standpoints thus, how they present their points is very important and how their point is taken by the other members is very important as it determines the kind of governance in the organization. Poor communication among the committee members is very problematic to the committee itself and the organization as a whole they cannot make right decisions since there can be poor understanding thus hindering the intended goals of their meetings. To achieve a well-managed collaborative committee meeting, some organizations opt for different committees with the members of the committees coming from different sectors of the healthcare organization.

The meeting I attended is an ethics committee meeting which many health facilities require as they provide ethics consultation services. The committee involves of stakeholders, clinicians that are the nurses and physicians, social workers, community representatives and chaplains. The rules of the ethics committee are: 

Providing ethics consultations in the health care facilities. Enhancing an ethical environment in the healthcare institution for the health care professionals. Promoting the patients’ rights. Supporting fair procedure and policies to maximize the achievement of good patients’ outcomes (Droppers & Hatfield School of Government, 2014). Promoting a well-shared decision making between the clinicians and their patients.

The ethics committee ensure that all that is met whenever they come together and the people who were in attendance were: The community representatives whose roles in the committee is protecting the community, consumers and carers interests, ensuring community recognition by the committee and present the issues that the community and carers have. The clinicians were also in the meeting, and their roles are to ensure that patients get quality, adequate healthcare and also ensure there are few or no readmissions of patients by providing to them quality care. The chaplains of the healthcare were also present in the meeting, and their role is to ensure the patients get the spirituals needs they require. The medical social workers’ roles are to determine the social, psychological or financial problem that a patient could be having by assessing them once they get to the healthcare center (Droppers & Hatfield School of Government, 2014). They also intervene for the needy patients to the community, so they get help. The stakeholder present was a representative of an insurance company whose role is to give a direct health coverage to patients or through the employer in an indirect way. 

In conclusion, the collaborative committee discussed s many issues and arrived at conclusions by properly analyzing the ideas each has and considering the pros and cons that the decision they make could have (Marquis & Huston, 2016). Also since the committee has persons from all the departments they considered the effects that the decisions they have in the different departments. I realized that the decision making is not left for specific people or just people. 

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  1. Droppers, O. J., & Hatfield School of Government. (2014). A Case Study of Collaborative Governance: Oregon Health Reform and Coordinated Care Organizations.
  2. Marquis, B. L., & Huston, C. J. (2016). Leadership roles and management functions in nursing: Theory and application. Philadelphia: Lippincott Williams & Wilkins.
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