The effects of perceived nurse shared governance on nurse job satisfaction and patient satisfaction

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Peer Reviewed


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The effects of perceived nurse shared governance on nurse job satisfaction and patient satisfaction

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Nurse shared governance (NSG) is one innovation used to restructure health care organizations to promote the work of professionals and to attain the goals of the organization. NSG is a practice model that defines a partnership between professional nurses and organization managers for authority and accountability of nursing care. Implementation of the features (structures and processes) of NSG requires major changes in roles and decision-making structures. This study used a cross-sectional survey design to compare the relationships among levels of perceived nurse autonomy and accountability, years of development of NSG, and number of features of NSG with two outcome variables: nurse job satisfaction and patient satisfaction. A purposive sample of 7 hospitals was used: 2 hospitals with no NSG, 1 hospital with NSG implemented for 2 years, 2 hospitals with NSG implemented from 3 to 7 years, and 2 hospitals with NSG for over 10 years. Data were collected from 3 samples: 35 patient care units (5 from each study hospital), 372 staff nurses, and 281 discharged patients from the study units. Data were collected from a mailed, structured response format questionnaire from nurses and patients. Correlation and regression were used to analyze the data. Years of development was not significantly related to the number of features perceived by staff nurses to be implemented and did not predict the number or extent of implementation of NSG features. The number and extent of features implemented did predict perceived individual nurse autonomy and perceived nurse accountability. This finding offers support that NSG does increase nurse perceived autonomy and accountability. Nurse accountability also significantly predicted nurse job satisfaction. The relationship of nurse accountability to patient satisfaction was positive and in the right direction, although it did not reach significance. Features least often implemented were features of the dimension of accountability and features requiring the most change in traditional decision-making structures. This study is a beginning step to identifying methods for evaluating NSG as a management intervention across settings even when definitions of NSG may vary greatly.


Shared Governance -- Evaluation, Nursing Staff, Hospital, Professional Autonomy -- Evaluation, Perception -- Evaluation, Accountability -- Evaluation, Patient Satisfaction -- Evaluation, Job Satisfaction -- Evaluation, Cross Sectional Studies, Comparative Studies, Correlational Studies, Purposive Sample, Regression, Human

Published Article/Book Citation

The effects of perceived nurse shared governance on nurse job satisfaction and patient satisfaction, : (1996) pp.363 p-.

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