Improving Nurse Engagement Through Unit Practice Councils: A
Literature Review, Is A Well-Researched Topic, It Is To Be Used As A Guide Or Framework For Your Research.
2 Problem: According to The Advisory Board Company, nurses are the least engaged group of
3 healthcare employees (The Advisory Board Company, 2014). This finding concerns healthcare
4 organizations because those with a high percentage of disengaged nurses have increased nurse
5 turnover rates and decreased patient satisfaction and safety scores (Kutney-Lee et al., 2016).
6 Shared governance, in the form of the Unit Practice Councils (UPC), is a model healthcare
7 organizations implement to increase nurse engagement. A review of the current literature is
8 needed to evaluate if the model is effective.
9 Purpose: The purpose of this article is to provide a comprehensive literature review of shared
10 governance in relation to nursing unit practice councils.
11 Methods: The Databases utilized for this search were the Cumulative Index to Nursing and
12 Allied Health Licensure (CINAHL), PubMed, Joana Briggs, and OVID. The terms used for the
13 literature search were “shared governance,” “unit practice councils,” “unit-based council,”
14 “nurse engagement,” “professional practice model,” and “ANCC Magnet Recognition
15 Program®.” Databases utilized for this search were Cumulative Index to Nursing and Allied
16 Health Licensure (CINAHL), PubMed, Joana Briggs, and OVID.
17 Conclusions: The literature review demonstrates that implementing UPCs improves nurse
18 engagement and has a positive impact on nurse turnover, patient satisfaction, and safety scores.
19 Keywords: unit-based council, unit practice council, nurse engagement, shared governance