Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes: An International Comparison

Abstract

Background: Nursing governance and effects on nurserelated 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.

The predicting effects of professional governance and structural empowerment on job satisfaction among Jordanian nurses: A cross‐sectional study

“…Thus, we may assume that professional governance directly affects the workplace environment, which may affect job satisfaction. However, studies in this area are still limited (Albashayreh et al, 2019; Speroni, Wisner, Stafford, et al, 2021; Ta'an, Al‐Hammouri, Aldalaykeh, et al, 2021).…”

Nurses' critical reflections of working in unit practice councils—A qualitative interview study

“…The support of nurse leaders is vital for the work of the councils (Cox Sullivan et al, 2017;Gabel Speroni et al, 2021), but many times nurse leaders and personnel have different perceptions about what the meaning of the council is and how shared governance really is (Hamad & Kehyayan, 2018;Hess, 2011). Nurse managers are more often found to perceive that nurses are involved in decision-making (Choi, 2021;Hess, 2011) while nurses do not see any difference in governance and can be confused about the role of the councils (Hamad & Kehyayan, 2018).…”

Survey Research

“…The parent study was a cross-sectional survey of nursing staff, and this investigation is a secondary analysis of a subset of the parent study. [14][15] The system's institutional review board deemed this research exempt. All participants provided informed consent in the online survey platform (SurveyMonkey).…”

“…This subset analysis was conducted within 3 hospitals (bed range = 228-358) in an academic health system and urban area in the mid-Atlantic region of the United States. The parent study was a cross-sectional survey of nursing staff, and this investigation is a secondary analysis of a subset of the parent study 14-15 . The system's institutional review board deemed this research exempt.…”

“…The subset analysis research described below addresses whether RN types (clinical, managers, and other RNs) perceive professional nursing governance differently or the same. As shared governance is associated with improved outcomes, [14][15] understanding perceptions may be a key component for achieving and maintaining shared governance levels at the unit and organizational levels.…”