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Structures and practices enabling staff nurses to control their practice.

Marlene Kramer¹, Claudia Schmalenberg, Patricia Maguire

¹Health Science Research Associates, Apache Junction, AZ, USA. mcairzona@juno.com

Western Journal of Nursing Research

|January 16, 2008

Summary

This study explored how shared governance structures enhance nurses

Related Experiment Videos

Area of Science:

Nursing Practice
Healthcare Management
Organizational Behavior

Background:

Control over nursing practice (CNP) is a key attribute of a productive work environment for staff nurses.
The Essentials of Magnetism (EOM) instrument measures CNP, with nearly 3,000 nurses participating in this study.
Understanding the structures that foster CNP is crucial for improving nursing work environments.

Purpose of the Study:

To identify structures and attributes that promote control over nursing practice (CNP) among staff nurses.
To explore the components of shared governance structures that enable CNP.
To provide insights for creating more supportive and empowering nursing work environments.

Main Methods:

Mixed-methods approach utilizing interviews, participant observations, and the CWEQII empowerment tool.
Quantitative data from the Essentials of Magnetism (EOM) instrument (n≈3,000 nurses).
Qualitative data from interviews (n≈446 nurses, managers, physicians, CNOs, COOs) and observations of meetings across 101 high-scoring units in 8 magnet hospitals.

Main Results:

Viable shared governance structures enabling CNP were identified.
Specific structural components and attributes that foster nurses' control over practice were elucidated.
Constant comparative analysis of quantitative and qualitative data revealed key findings.

Conclusions:

Shared governance structures are essential for promoting control over nursing practice.
Understanding these structures can guide the development of effective nursing work environments.
The study provides evidence-based insights for enhancing nurses' professional autonomy and job satisfaction.