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Nursing council ... coordination within decentralization
C G Friese1, P J Fleurant, S S Hillman
1St. Vincent Hospital, Green Bay, Wisconsin, USA.
Nursing Management
|April 17, 1998
Summary
Implementing a nursing council based on the five traditional nursing roles improves patient outcomes and nurse job satisfaction. This council offers a collaborative space for addressing nursing and patient care within a decentralized structure.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Psychology
Background:
- Traditional nursing roles encompass manager, educator, practitioner, evaluator, and researcher.
- Decentralized matrix organizations require effective communication and collaboration.
- Enhancing patient outcomes and nurse work satisfaction are key healthcare goals.
Purpose of the Study:
- To evaluate the impact of a nursing council modeled on traditional roles.
- To assess improvements in patient outcomes.
- To determine effects on nurse work satisfaction.
Main Methods:
- A nursing council was established, incorporating the five traditional nursing roles.
- The council operated within a decentralized matrix organizational structure.
- Data on patient outcomes and nurse work satisfaction were collected and analyzed.
Main Results:
- The nursing council led to improved patient outcomes.
- Nurse work satisfaction was significantly enhanced.
- The council facilitated a participative forum for addressing nursing issues.
Conclusions:
- A nursing council structured around traditional roles is effective.
- This model positively impacts both patient care and nursing staff well-being.
- Decentralized organizations benefit from such collaborative nursing structures.