Shared Decision Making: Moving from Concerns about Restrooms to Concerns about Classrooms

1992 ◽  
Vol 2 (3) ◽  
pp. 330-344 ◽  
Author(s):  
Peggy C. Kirby

Whilesome schools dive head first into shared governance, others struggle with issues and processes that frustrate both faculty and administrators. Here the author describes selected experiences of four schools at various stages of implementation of a shared leadership model in an effort to identify factors that facilitate meaningful involvement. Propositions are offered regarding issues for shared governance, the structure and composition of leadership teams, and the collection and use of information.

2020 ◽  
Vol 56 (5) ◽  
pp. 819-855
Author(s):  
A. Chris Torres ◽  
Katrina Bulkley ◽  
Taeyeon Kim

Purpose: This study examines how district governance and different school contexts in Denver’s portfolio management model affect shared leadership for learning. We define this as shared influence on instructional leadership and school-wide decision making, which research suggests have strong ties to student achievement and teacher commitment. Method: We analyze interview data from 53 administrators, teacher leaders, and teachers in eight case study schools and teacher surveys in 48 schools. In both data sets, we purposively sampled based on variance in school performance ratings and by school type (e.g., traditional public, standalone charter, charter management organization [CMO], and innovation schools). Findings: We find that perceptions of shared instructional leadership were generally high across the school contexts, though CMO and innovation schools had the highest perceptions in both the survey and case study data. Schools varied substantially in shared decision making, but innovation schools had higher average scores than other school models. Centralized policies and supports, alongside organizational visions spanning networks of schools, helped explain the enactment of shared leadership for learning. For example, schools within Denver’s “innovation” network shared a common vision of teacher empowerment, while CMOs that had more prescribed policies and practices across their schools had lower reported levels of shared decision making. Implications for Research and Practice: Portfolio management models that prioritize school-based autonomy and choice between different kinds of schools are proliferating in urban areas. Our study helps explain why and how shared leadership for learning differs between school models and explores important implications for this variation.


2017 ◽  
Vol 71 (5) ◽  
pp. 692-721 ◽  
Author(s):  
Flemming Holm ◽  
Gail T Fairhurst

How does organizing proceed when leadership is both shared and hierarchical? Who sets the context, how and when do people share influence, and who produces authoritative texts for going forward? Using the lens of authoring claims and grants (Taylor and Van Every, 2014), we display the complex relationship between shared and hierarchical leadership in meeting interactions in a Danish municipality attempting to implement shared leadership. Our findings suggest that issues of time and timing are fundamental to understanding their interrelationship. We highlight discursive devices such as ‘bookending,’ including the creation of authoritative texts, which render the shared and hierarchical leadership configuration an ambiguous space that requires interrogating the nature of leadership attributions. Finally, we demonstrate the relevance of leadership as a concept for both hierarchical and shared decision-making situations.


2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.


2004 ◽  
Author(s):  
P. F. M. Stalmeier ◽  
M. S. Roosmalen ◽  
L. C. G. Josette Verhoef ◽  
E. H. M. Hoekstra-Weebers ◽  
J. C. Oosterwijk ◽  
...  

2013 ◽  
Author(s):  
Shirley M. Glynn ◽  
Lisa Dixon ◽  
Amy Cohen ◽  
Amy Drapalski ◽  
Deborah Medoff ◽  
...  

2018 ◽  
Vol 09 (06) ◽  
pp. 250-252
Author(s):  
Rainer Bubenzer

Auch in der Onkologie hat das Thema Patientenbeteiligung zunehmend an Bedeutung gewonnen. Ein häufig genanntes Mantra dazu lautet: Viele Patienten wünschen sich eine aktivere Rolle bei der eigenen Gesundheitsversorgung, am besten auf „Augenhöhe“. Ein Ansatz, der solche Wünsche berücksichtigt, ist die partizipative Entscheidungsfindung (PEF, shared-decision-making). Auch auf gesundheitspolitischer Ebene spielt PEF eine wachsende Rolle, wird z. B. im Rahmen des Nationalen Krebsplans spezifisch gefördert (►siehe Kasten). Ob und wieweit diese ambitionierten Ziele in der Onkologie in der Versorgungswirklichkeit angekommen sind, war eines der Themen beim 17. Deutschen Kongress für Versorgungsforschung in Berlin. Es zeigte sich: PEF ist in vielen Bereichen der Onkologie noch längst nicht angekommen.


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