A qualitative exploration of nurses’ perspectives, experiences, and obstacles with shared governance

This study explores the nurses' experiences of shared governance in hospitals in Saudi Arabia to identify the factors that enhance and hinder nurses' shared governance and nurses' participation in decision-making processes. Through a qualitative descriptive research approach, the study utilized semi-structured interviews with 13 registered nurses selected via purposive sampling. Data were coded and condensed using thematic analysis. Three main themes were identified: participants' perceptions about the concept of shared governance, factors influencing nurses' participation in decision-making processes, and the consequences of shared governance. Participating nurses had a limited understanding of shared governance. Most were exposed to the concept of shared governance for the first time and could not comprehend or interpret it. The study found that nurses have limited knowledge of shared governance, but it is universally recognized that nurses' involvement in decision-making is important. Implementing shared governance at the unit level has positive outcomes such as increased employee satisfaction, creativity, and trust in managers. The study highlights the influence of the work environment and the benefits of shared governance and inclusive leadership. Empowering nurses in decision-making can enhance engagement, job satisfaction, and patient outcomes.