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Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes by Magnet® Recognition Status
Karen Gabel Speroni1, Kirsten Wisner, Melanie Ober
1Author Affiliations: Nursing Research Consultant (Dr Speroni), Johns Hopkins Bayview Medical Center, Baltimore, Maryland; Adjunct Faculty (Dr Speroni), Johns Hopkins School of Nursing, Leesburg, Virginia; Magnet Program Director (Dr Wisner), Salinas Valley Memorial Healthcare System, Salinas, California; Clinical Nurse Educator (Ms Ober), Perioperative Services, University of Maryland Shore Regional Health, Easton; Program Director (Ms Haines), Magnet, King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia; and Senior Director (Dr Walters), Hospital Capacity Management & Emergency Nursing Services, Johns Hopkins Bayview Medical Center; and Associate Professor (Dr Budhathoki), School of Nursing, Johns Hopkins University, Baltimore, Maryland.
Objective:
Researchers examined associations between Index for Professional Nursing Governance (IPNG) types and outcomes.
Background:
Effects of professional nursing governance on nurse-related outcomes by Magnet® status are not well studied.
Methods:
Associations were evaluated between average IPNG scores from 2170 RNs, and nurse-sensitive indicators (NSIs) as well as patient and RN satisfaction outcomes (N = 205 study units; 20 hospitals), following Magnet requirements.
Results:
Magnet hospitals had significantly better IPNG shared governance scores than non-Magnet hospitals (Magnet, 106.7; non-Magnet, 101.3). For Magnet hospitals, units scoring as shared governance outperformed traditional governance for 9 of 19 outcomes (47.4%) (NSI, 2; patient satisfaction, 3; RN satisfaction, 4). Self-governance outperformed shared governance for 8 of 15 outcomes (53.3%) (NSI, 2; patient satisfaction, 6; RN satisfaction, 0). For non-Magnet hospitals, shared governance significantly outperformed traditional governance for 1 of 15 outcomes (6.7%) (patient satisfaction).
Conclusions:
Having shared or self-governance is a strategy that can be considered by nurse leaders to improve select nurse-related outcomes.
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