Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes: An International Comparison.
J Nurs Adm
; 51(5): 287-296, 2021 May 01.
Article
em En
| MEDLINE
| ID: mdl-33882557
ABSTRACT
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Satisfação Pessoal
/
Desenvolvimento de Pessoal
/
Governança Clínica
/
Enfermeiros Administradores
/
Recursos Humanos de Enfermagem Hospitalar
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article