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Nursing control over practice and teamwork.

Jessica Castner1, Diane J Ceravolo, Kelly Foltz-Ramos

  • 1University at Buffalo’s School of Nursing, Buffalo, NY, USA. jcastner@buffalo.edu

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Nurses with greater control over their practice report better teamwork. This finding highlights the importance of empowering nurses for improved collaboration and patient care quality.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • Nurses' control over practice is a critical factor influencing the quality of nursing care.
  • Empowering nurses is essential for fostering effective teamwork at the point of care delivery.

Purpose of the Study:

  • To measure the relationship between nurses' control over practice and key dimensions of teamwork.
  • To investigate how control over practice influences team structure, leadership, situation monitoring, mutual support, and communication.

Main Methods:

  • Secondary analysis of 456 surveys from registered nurses.
  • Data collected from nurses within a five-hospital system.

Main Results:

  • A global measure of teamwork positively correlated with nurses' control over practice and nursing experience.
  • All five dimensions of teamwork were perceived more favorably by nurses with higher control over their practice.
  • Teamwork training showed an interaction effect with control over practice, particularly in situation monitoring.

Conclusions:

  • Nursing control over practice is positively associated with enhanced teamwork.
  • Future nursing education, policy, and research should consider the impact of control over practice on teamwork.
  • Further investigation is needed to explore control over practice as a moderator or mediator in effective teamwork.