Staff Perceptions of Decision-Making in a Shared Governance Culture

The Journal of Nursing Administration
Tina Di FioreNancy M Albert

Abstract

To evaluate differences in the shared decision-making perceptions of clinical nurses between initial implementation of a shared governance model and perceptions 3 years later after the model has matured. Shared decision-making empowers nurses to have a voice in their practice and supports engagement and retention. A prospective, 2-group comparative design was conducted using the Index of Professional Nursing Governance, a validated, reliable tool. After comparing data univariately, a multivariable linear regression model was used to evaluate the impact of nurse characteristics on shared decision-making responses. Mean overall shared decision-making score (P = .23) and domain scores (P values between .055 and .63) did not increase in 2015 compared with 2012. After adjusting for differences in nurse characteristics between groups, overall score (P = .017) and 3 of 6 domain scores improved: professional control of work, structures for decisions and access to information (all P values between .005 and .031). As shared governance became established, shared decision-making scores increased.

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Oct 26, 2016·The Journal of Nursing Administration·Joanne T Clavelle, Miki Goodwin

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Citations

Oct 16, 2019·Leadership in Health Services·Taina Hannele KanninenTarja Kvist
May 18, 2021·Journal of Nursing Management·Taina KanninenTarja Kvist
May 31, 2021·Journal of Nursing Management·Sujin Choi

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