Shared Governance Shared decision making is a hallmark of shared governance.
That is, both managers and staff members participate in making decisions. Such participation can improve collaboration, staff retention, job satisfaction, productivity, and patient outcomes. Measuring the distribution of con- trol, influence, power, and authority, Hess (2011) found that managers perceived staff to have more power in making decisions than staff perceived that they did. Workload issues offered op- portunities for shared decision making in another study (MacPhee, Wardrop, & Campbell, 2010).