A positive and healthy work environment is considered an essential and crucial component to increase nurses' satisfaction; therefore, nurses used shared governance and its related Unit Practice Councils (UPCs) as a way to attain it. UPCs are innovative management and leadership process built on shared decision-making among all nurses and focused on nurses' practices and accountability of their care (Lamoureux et al., 2014).Engaging nurses at the service point in raising clinical and operational issues is linked to greater levels of empowerment and confidence pertaining to shared governance and its related UPCs (Al-Marri & Kehyayan, 2018;Brull, 2015). Implementation of professional governance structures can enhance the synergistic work environment between the management and frontline employees, and improve employee work conditions enhancing teamwork, openmindedness and the adventure of finding new solutions to old problems (Fuentes et al., 2019).One of the ways to implement shared governance is through the creation and institutionalization of UPCs which are groups of nurses within units who take lead in implementing, monitoring, evaluating standard and consistent practice among staff nurses and the wider multidisciplinary team (Sloan, 2020). UPCs should be well-structured and functional, with nurses aligning themselves with self-directed work teams and organizational leaders' competencies (Joseph & Bogue, 2016). Optimal functioning of UPCs has been shown to result in nursing empowerment, improved clinical practice, a healthy work environment, improved peer relationships, cultural change, improved perceptions of patients and employees, and improved patient outcomes and satisfaction (Gerard et al., 2016;Wessel, 2012).
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