Associations and Predictive Pathways Between Shared Governance, Autonomy, Magnet Status, Nurse-Sensitive Indicators, and Nurse Satisfaction: A Multisite Study.
Juli McGinnis, Vivien Dee, June Rondinelli, Hong Li
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引用次数: 0
Abstract
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.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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