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Using the Hess Index of Professional Nursing Governance to Explore Nurses' Perceptions of Shared Decision-Making in a
Adam T Booth1, Brittany Hines, Addison Newton
1Author Affiliations: Nurse Researcher (Dr Booth), Office of Professional Practice Education, Nursing Research, & Nursing Excellence, University of Louisville Health; Clinical Leadership Educator (Hines), Nursing Congress Co-Chair & Stroke Intensive Care Unit Staff RN (Newton), Nursing Excellence Coordinator & Magnet Program Director (Dr Self), Nursing Congress Chair & Medical Intensive Care Unit Staff RN (Beierle), Director of the Office of Professional Practice (Russell), University of Louisville Hospital Office of Professional Practice, Kentucky; and Founder & CEO of Forum for Shared Governance, LLC (Dr Hess), Hobe Sound, Florida.
Objective:
The purpose of this study was to assess nurses' perceptions of shared governance using the Index of Professional Nursing Governance version 3.0 (IPNG).
Background:
A goal of creating shared governance awareness among frontline nurses is to empower them to assemble and create positive change in their practice.
Methods:
This cross-sectional, descriptive, exploratory quantitative study design measured nurses' perceptions of shared governance on a continuum ranging from traditional to shared to self-governance in an academic medical center using the 50-item IPNG.
Results:
Findings demonstrated a nascent shared governance structure with the lowest scoring items related to control over personnel. Active involvement in shared governance and education level impacted subscale scores (P < 0.05).
Conclusions:
Findings from this study supported the accreditation of the organization by the Forum for Shared Governance.
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