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Published on: June 21, 2010
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).
Background:
Evidence is limited to the effects of shared governance (SG) and autonomy on nurse-sensitive indicators (NSIs).
Purpose:
To explore the effects of SG, autonomy, and Magnet status on nurse and patient outcomes.
Methods:
A cross-sectional survey study was conducted using a convenience sample of 404 nurses from 4 hospitals. Descriptive analyses of variance (ANOVAs), and path analysis were conducted to identify hypothesized associations and predictive pathways among study variables.
Results:
Nurse managers reported higher perceptions of SG, autonomy, and satisfaction than staff nurses. SG and autonomy were significant predictors of patient falls and hospital-acquired pressure injuries. Nurses' autonomy, SG, and Magnet accreditation were significant predictors of nurse satisfaction.
Conclusions:
Leadership support of SG and autonomous practice are key strategies to improve nurse satisfaction and NSI outcomes.
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