OBJECTIVE The objectives of this study were to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes. BACKGROUND There is little empirical evidence examining the relationship between shared governance and patient outcomes. METHODS A secondary analysis of linked cross-sectional d...

The competitive nature of business and society means that the protection of information, and governance of the information security function, is increasingly important. This paper introduces the notion of a governance framework for information security for health providers. It refines the idea of an IT Balanced Scorecard into a scorecard process for use in governing information security for pri...

BACKGROUND Significant knowledge gaps exist in the functioning of institutional designs and organisational practices in purchasing within free healthcare schemes in low resource countries. The study provides evidence of the governance requirements to scale up strategic purchasing in free healthcare policies in Nigeria and other low-resource settings facing similar approaches. METHODS The stud...

Center for Healthcare Operations Improvement and Research (CHOIR), University of Twente, Enschede, the Netherlands; Industrial Engineering and Business Information Systems, School of Management and Governance, University of Twente, Enschede, the Netherlands; Department of Quality and Process Innovation, Academic Medical Center Amsterdam, Amsterdam, the Netherlands; Stochastic Operations Researc...

This article describes positive outcomes in culture, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, employee engagement, and clinical quality as a result of using shared governance, specifically unit practice councils (UPC) or staff councils, to implement Relationship-Based Care (RBC).