TY - JOUR
T1 - Effect of shared governance on nurse-sensitive indicator and satisfaction outcomes
T2 - An international comparison
AU - Speroni, Karen Gabel
AU - Wisner, Kirsten
AU - Stafford, Amy
AU - Haines, Fiona
AU - Al-Ruzzieh, Majeda A.
AU - Walters, Cynthia
AU - Budhathoki, Chakra
N1 - Publisher Copyright:
© 2021 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
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U2 - 10.1097/NNA.0000000000001014
DO - 10.1097/NNA.0000000000001014
M3 - Article
C2 - 33882557
AN - SCOPUS:85105325438
VL - 51
SP - 287
EP - 296
JO - Journal of Nursing Administration
JF - Journal of Nursing Administration
SN - 0002-0443
IS - 5
ER -