Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes by Magnet® Recognition Status.
Attitude of Health Personnel
Hospital Administration
Humans
Job Satisfaction
Leadership
Nursing Staff, Hospital
/ organization & administration
Personal Satisfaction
Personnel Staffing and Scheduling
/ organization & administration
Quality Indicators, Health Care
Quality of Health Care
United States
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:
Historique:
entrez:
18
8
2021
pubmed:
19
8
2021
medline:
26
8
2021
Statut:
ppublish
Résumé
Researchers examined associations between Index for Professional Nursing Governance (IPNG) types and outcomes. Effects of professional nursing governance on nurse-related outcomes by Magnet® status are not well studied. Associations were evaluated between average IPNG scores from 2170 RNs, and nurse-sensitive indicators (NSIs) as well as patient and RN satisfaction outcomes (N = 205 study units; 20 hospitals), following Magnet requirements. Magnet hospitals had significantly better IPNG shared governance scores than non-Magnet hospitals (Magnet, 106.7; non-Magnet, 101.3). For Magnet hospitals, units scoring as shared governance outperformed traditional governance for 9 of 19 outcomes (47.4%) (NSI, 2; patient satisfaction, 3; RN satisfaction, 4). Self-governance outperformed shared governance for 8 of 15 outcomes (53.3%) (NSI, 2; patient satisfaction, 6; RN satisfaction, 0). For non-Magnet hospitals, shared governance significantly outperformed traditional governance for 1 of 15 outcomes (6.7%) (patient satisfaction). Having shared or self-governance is a strategy that can be considered by nurse leaders to improve select nurse-related outcomes.
Sections du résumé
OBJECTIVE
OBJECTIVE
Researchers examined associations between Index for Professional Nursing Governance (IPNG) types and outcomes.
BACKGROUND
BACKGROUND
Effects of professional nursing governance on nurse-related outcomes by Magnet® status are not well studied.
METHODS
METHODS
Associations were evaluated between average IPNG scores from 2170 RNs, and nurse-sensitive indicators (NSIs) as well as patient and RN satisfaction outcomes (N = 205 study units; 20 hospitals), following Magnet requirements.
RESULTS
RESULTS
Magnet hospitals had significantly better IPNG shared governance scores than non-Magnet hospitals (Magnet, 106.7; non-Magnet, 101.3). For Magnet hospitals, units scoring as shared governance outperformed traditional governance for 9 of 19 outcomes (47.4%) (NSI, 2; patient satisfaction, 3; RN satisfaction, 4). Self-governance outperformed shared governance for 8 of 15 outcomes (53.3%) (NSI, 2; patient satisfaction, 6; RN satisfaction, 0). For non-Magnet hospitals, shared governance significantly outperformed traditional governance for 1 of 15 outcomes (6.7%) (patient satisfaction).
CONCLUSIONS
CONCLUSIONS
Having shared or self-governance is a strategy that can be considered by nurse leaders to improve select nurse-related outcomes.
Identifiants
pubmed: 34405977
doi: 10.1097/NNA.0000000000001033
pii: 00005110-202107000-00007
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
379-388Informations 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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