Date of Graduation
Doctor of Nursing Practice (DNP)
School of Nursing and Health Professions
Executive Leader DNP
Dr. Elena Capella
Dr. Mary Lynne Knighten
Problem: According to The Advisory Board Company, nurses are the least engaged group of healthcare employees (The Advisory Board Company, 2014). This finding concerns healthcare organizations because those with a high percentage of disengaged nurses have increased nurse turnover rates and decreased patient satisfaction and safety scores (Kutney-Lee et al., 2016). Shared governance, in the form of the Unit Practice Councils (UPC), is a model healthcare organizations implement to increase nurse engagement. A review of the current literature is needed to evaluate if the model is effective.
Purpose: The purpose of this article is to provide a comprehensive literature review of shared governance in relation to nursing unit practice councils.
Methods: The Databases utilized for this search were the Cumulative Index to Nursing and Allied Health Licensure (CINAHL), PubMed, Joana Briggs, and OVID. The terms used for the literature search were “shared governance,” “unit practice councils,” “unit-based council,” “nurse engagement,” “professional practice model,” and “ANCC Magnet Recognition Program®.” Databases utilized for this search were Cumulative Index to Nursing and Allied Health Licensure (CINAHL), PubMed, Joana Briggs, and OVID.
Conclusions: The literature review demonstrates that implementing UPCs improves nurse engagement and has a positive impact on nurse turnover, patient satisfaction, and safety scores.
Keywords: unit-based council, unit practice council, nurse engagement, shared governance
Sloan, Pavna, "Improving Nurse Engagement Through Unit Practice Councils: A Literature Review" (2020). Doctor of Nursing Practice (DNP) Projects. 187.