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Survey Research: Do All RN Types Have the Same Perceptions Regarding Professional Nursing Governance?
Karen Gabel Speroni1, Chakra Budhathoki, Cynthia Walters
1Author Affiliations: Nursing Research Consultant, Johns Hopkins Bayview Medical Center and Adjunct Faculty (Dr Speroni), Johns Hopkins School of Nursing; Associate Professor (Dr Budhathoki), Johns Hopkins School of Nursing; and Senior Director Hospital Capacity Management & Emergency Nursing Services (Dr Walters), Johns Hopkins Bayview Medical Center, Baltimore, Maryland; Geriatric Advanced Practice Nurse (Dr Dutton), Sibley Memorial Hospital,/Johns Hopkins Medicine, Washington, DC; and Critical Care Nurse Educator (Ms Mackay) and Nurse Clinician (Dr Oguariri), Suburban Hospital/Johns Hopkins Medicine, Bethesda, Maryland.
Registered nurses (RNs) across clinical, manager, and other roles perceive shared governance similarly. This study found no significant differences in shared governance perceptions among different RN types.
Area of Science:
- Nursing Management
- Healthcare Administration
- Organizational Behavior
Background:
- Shared governance models are linked to better nurse-related outcomes.
- Understanding how different registered nurse (RN) roles perceive shared governance is crucial but understudied.
Purpose of the Study:
- To investigate differences in professional nursing governance perceptions among clinical nurses, managers, and other RNs.
- To examine associations between shared governance perceptions and nurse-related outcomes based on RN type.
Main Methods:
- Utilized Index of Professional Nursing Governance (IPNG) scores from 502 RNs across three hospitals.
- Employed descriptive and inferential statistical methods to analyze data by RN type and unit-based outcomes.
Main Results:
- Shared governance was the prevailing perception, with no significant differences found across RN types.
- One subscale, 'control over personnel,' showed traditional governance perceptions, but this was not statistically significant.
- No significant differences were observed in the association between IPNG scores and outcomes data when stratified by RN type.
Conclusions:
- Clinical nurses, nurse managers, and other RNs reported similar perceptions of shared governance.
- RN role or type did not significantly influence perceptions of professional nursing governance.
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