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Associations and Predictive Pathways Between Shared Governance, Autonomy, Magnet Status, Nurse-Sensitive Indicators,

Juli McGinnis1, Vivien Dee, June Rondinelli

  • 1Author Affiliations: Kaiser Permanente, Patient Care Services, Pasadena, California (Dr McGinnis); Department of Doctoral Studies, School of Nursing, Azusa Pacific University, Monrovia, California (Drs Dee and Li); and Nursing Research and EBP Consultant, Glendora, California (Dr Rondinelli).

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Summary
This summary is machine-generated.

Shared governance and autonomy significantly improve nurse satisfaction and reduce patient falls and pressure injuries. Leadership support for these practices is crucial for better nurse-sensitive indicator outcomes.

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Patient Safety

Background:

  • Limited evidence exists on the impact of shared governance (SG) and autonomy on nurse-sensitive indicators (NSIs).
  • Understanding these relationships is vital for improving healthcare quality.

Purpose of the Study:

  • To investigate the influence of shared governance (SG), autonomy, and Magnet status on both nurse and patient outcomes.
  • To identify key factors affecting nurse satisfaction and patient safety indicators.

Main Methods:

  • A cross-sectional survey design was employed with 404 nurses across four hospitals.
  • Statistical analyses, including descriptive statistics, ANOVAs, and path analysis, were used to examine associations between variables.

Main Results:

  • Nurse managers reported higher levels of SG, autonomy, and satisfaction compared to staff nurses.
  • Both SG and autonomy were identified as significant predictors of reduced patient falls and hospital-acquired pressure injuries.
  • Nurses' autonomy, SG, and Magnet accreditation were significant predictors of increased nurse satisfaction.

Conclusions:

  • Leadership endorsement of shared governance and autonomous nursing practice are essential strategies.
  • Implementing these strategies can lead to enhanced nurse satisfaction and improved nurse-sensitive indicator outcomes.