Enhancing and Advancing Shared Governance Through a Targeted Decision-Making Redesign.
Publication Title
The Journal of nursing administration
Document Type
Article
Publication Date
9-1-2018
Keywords
California; Clinical Governance; Community Health Services; Cooperative Behavior; Cross-Sectional Studies; Decision Making; Humans; Job Satisfaction; Nursing Staff, Hospital; Power (Psychology); Quality of Health Care; Reproducibility of Results
Abstract
OBJECTIVE: The study aim was to determine if a targeted redesign of shared decision making improved shared governance (SG).
BACKGROUND: Nursing SG is collaborative decision making between nurses at every level; it improves quality of care, empowers nurses, and enhances nurse satisfaction.
METHODS: Using a quasi-experimental, pretest/posttest design, researchers electronically distributed the Index of Professional Nursing Governance (IPNG) to an inclusive, convenience sample of RNs in a Magnet®-designated 377-bed community medical center. Preintervention scores were used to tailor a redesign of shared decision making, and postintervention data were collected within 1 year to measure outcomes.
RESULTS: IPNG overall score and 5 of 6 subscale scores significantly increased after the redesign.
CONCLUSIONS: Changes to an SG structure can take 2 to 5 years to be realized. Our findings corroborate that the IPNG is a valuable tool in promoting setting-specific SG.
Specialty/Research Institute
Nursing
