Effect of shared governance on nurse-sensitive indicator and satisfaction outcomes: An international comparison

Karen Gabel Speroni, Kirsten Wisner, Amy Stafford, Fiona Haines, Majeda A. Al-Ruzzieh, Cynthia Walters, Chakra Budhathoki

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Researchers examined associations between Index for Professional Nursing Governance (IPNG) scores and outcomes, by US and international hospitals. Background: Nursing governance and effects on nurse-related outcomes are not well studied. Methods Associations were evaluated using average IPNG scores from 2170 RNs and nurse-sensitive indicators (NSIs) and patient and RN satisfaction outcomes (n = 205 study units, 20 hospitals, 4 countries). Results International units had better IPNG shared governance scores (113.5; US = 100.6; P < 0.001), and outcomes outperforming unit benchmarks (6 of 15, 40.0%; US = 2 of 15, 13.3%). Shared governance significantly outperformed traditional governance for 5 of 20 (25.0%) US outcomes (patient satisfaction = 1, RN satisfaction = 4) and for 3 of 11 (27.3%) international (patient satisfaction = 1, RN satisfaction = 2). Internationally, self-governance significantly outperformed traditional governance and shared governance for 5 of 12 (41.7%) outcomes (NSI = 2, patient satisfaction = 3). Conclusions: Shared governance is a strategy that can be considered by nurse leaders for improving select outcomes.

Original languageEnglish (US)
Pages (from-to)287-296
Number of pages10
JournalJournal of Nursing Administration
Volume51
Issue number5
DOIs
StatePublished - 2021

ASJC Scopus subject areas

  • Leadership and Management

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