Associations and Predictive Pathways Between Shared Governance, Autonomy, Magnet Status, Nurse-Sensitive Indicators, and Nurse Satisfaction: A Multisite Study.
Journal
Journal of nursing care quality
ISSN: 1550-5065
Titre abrégé: J Nurs Care Qual
Pays: United States
ID NLM: 9200672
Informations de publication
Date de publication:
08 Sep 2023
08 Sep 2023
Historique:
medline:
20
9
2023
pubmed:
20
9
2023
entrez:
20
9
2023
Statut:
aheadofprint
Résumé
Evidence is limited to the effects of shared governance (SG) and autonomy on nurse-sensitive indicators (NSIs). To explore the effects of SG, autonomy, and Magnet status on nurse and patient outcomes. A cross-sectional survey study was conducted using a convenience sample of 404 nurses from 4 hospitals. Descriptive analyses of variance (ANOVAs), and path analysis were conducted to identify hypothesized associations and predictive pathways among study variables. Nurse managers reported higher perceptions of SG, autonomy, and satisfaction than staff nurses. SG and autonomy were significant predictors of patient falls and hospital-acquired pressure injuries. Nurses' autonomy, SG, and Magnet accreditation were significant predictors of nurse satisfaction. Leadership support of SG and autonomous practice are key strategies to improve nurse satisfaction and NSI outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
Evidence is limited to the effects of shared governance (SG) and autonomy on nurse-sensitive indicators (NSIs).
PURPOSE
OBJECTIVE
To explore the effects of SG, autonomy, and Magnet status on nurse and patient outcomes.
METHODS
METHODS
A cross-sectional survey study was conducted using a convenience sample of 404 nurses from 4 hospitals. Descriptive analyses of variance (ANOVAs), and path analysis were conducted to identify hypothesized associations and predictive pathways among study variables.
RESULTS
RESULTS
Nurse managers reported higher perceptions of SG, autonomy, and satisfaction than staff nurses. SG and autonomy were significant predictors of patient falls and hospital-acquired pressure injuries. Nurses' autonomy, SG, and Magnet accreditation were significant predictors of nurse satisfaction.
CONCLUSIONS
CONCLUSIONS
Leadership support of SG and autonomous practice are key strategies to improve nurse satisfaction and NSI outcomes.
Identifiants
pubmed: 37729001
doi: 10.1097/NCQ.0000000000000739
pii: 00001786-990000000-00103
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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