A shared governance model was implemented within the nursing service of the
Durham Veterans Affairs Medical Center in 1997. In 1999, a members of the
Nursing Quality/Staff Education/Research Council examined facility nurses'
perceptions of governance to determine the degree to which the model had be
en implemented. Results of the study indicate that although imperatives at
the organizational level were incompatible with three aspects of shared gov
ernance, there were three shared governance dimensions pertaining to basic
nursing practice that reached or surpassed governance thresholds. his study
highlights the potential of nursing management innovation within highly bu
reaucratic organizations.