Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes: An International Comparison.
Clinical Governance
/ organization & administration
Decision Making, Organizational
Humans
Leadership
Nurse Administrators
/ organization & administration
Nurse's Role
/ psychology
Nursing Staff, Hospital
/ organization & administration
Personal Satisfaction
Staff Development
/ organization & administration
Journal
The Journal of nursing administration
ISSN: 1539-0721
Titre abrégé: J Nurs Adm
Pays: United States
ID NLM: 1263116
Informations de publication
Date de publication:
01 May 2021
01 May 2021
Historique:
entrez:
21
4
2021
pubmed:
22
4
2021
medline:
5
5
2021
Statut:
ppublish
Résumé
Researchers examined associations between Index for Professional Nursing Governance (IPNG) scores and outcomes, by US and international hospitals. Nursing governance and effects on nurse-related outcomes are not well studied. 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). 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). Shared governance is a strategy that can be considered by nurse leaders for improving select outcomes.
Sections du résumé
OBJECTIVE
OBJECTIVE
Researchers examined associations between Index for Professional Nursing Governance (IPNG) scores and outcomes, by US and international hospitals.
BACKGROUND
BACKGROUND
Nursing governance and effects on nurse-related outcomes are not well studied.
METHODS
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
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
CONCLUSIONS
Shared governance is a strategy that can be considered by nurse leaders for improving select outcomes.
Identifiants
pubmed: 33882557
doi: 10.1097/NNA.0000000000001014
pii: 00005110-202105000-00011
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
287-296Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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