OBJECTIVE: The objectives of this study were to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes. BACKGROUND: There is little empirical evidence examining the relationship between shared governance and patient outcomes. METHODS: A secondary analysis of linked cross-sectional data was conducted using nurse, hospital, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data. RESULTS: Engagement varied widely across hospitals. In hospitals with greater levels of engagement, nurses were significantly less likely to report unfavorable job outcomes and poor ratings of quality and safety. Higher levels of nurse engagement were associated with higher HCAHPS scores. CONCLUSIONS: A professional practice environment that incorporates shared governance may serve as a valuable intervention for organizations to promote optimal patient and nurse outcomes.
OBJECTIVE: The objectives of this study were to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes. BACKGROUND: There is little empirical evidence examining the relationship between shared governance and patient outcomes. METHODS: A secondary analysis of linked cross-sectional data was conducted using nurse, hospital, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data. RESULTS: Engagement varied widely across hospitals. In hospitals with greater levels of engagement, nurses were significantly less likely to report unfavorable job outcomes and poor ratings of quality and safety. Higher levels of nurse engagement were associated with higher HCAHPS scores. CONCLUSIONS: A professional practice environment that incorporates shared governance may serve as a valuable intervention for organizations to promote optimal patient and nurse outcomes.
Authors: William G Lehrman; Marc N Elliott; Elizabeth Goldstein; Megan K Beckett; David J Klein; Laura A Giordano Journal: Med Care Res Rev Date: 2009-07-28 Impact factor: 3.929
Authors: Ann Kutney-Lee; Matthew D McHugh; Douglas M Sloane; Jeannie P Cimiotti; Linda Flynn; Donna Felber Neff; Linda H Aiken Journal: Health Aff (Millwood) Date: 2009-06-12 Impact factor: 6.301
Authors: J Margo Brooks Carthon; Linda Hatfield; Colin Plover; Andrew Dierkes; Lawrence Davis; Taylor Hedgeland; Anne Marie Sanders; Frank Visco; Sara Holland; Jim Ballinghoff; Mary Del Guidice; Linda H Aiken Journal: J Nurs Care Qual Date: 2019 Jan/Mar Impact factor: 1.597
Authors: Ann Kutney-Lee; Douglas M Sloane; Kathryn H Bowles; Lawton R Burns; Linda H Aiken Journal: Appl Clin Inform Date: 2019-02-20 Impact factor: 2.342
Authors: Karen B Lasater; Margaret A McCabe; Eileen T Lake; Warren D Frankenberger; Kathryn E Roberts; Paula D Agosto; Kathryn A Riman; Amanda P Bettencourt; Elizabeth S Schierholz; Gianluca Catania; Linda H Aiken Journal: Hosp Pediatr Date: 2020-04-06
Authors: Tanekkia M Taylor-Clark; Pauline A Swiger; Colleen V Anusiewicz; Lori A Loan; Danielle M Olds; Sara T Breckenridge-Sproat; Dheeraj Raju; Patricia A Patrician Journal: J Nurs Adm Date: 2022-02-01 Impact factor: 1.737
Authors: Ann Kutney-Lee; Margo Brooks Carthon; Douglas M Sloane; Kathryn H Bowles; Matthew D McHugh; Linda H Aiken Journal: Med Care Date: 2021-07-01 Impact factor: 3.178
Authors: J Margo Brooks Carthon; Linda Hatfield; Heather Brom; Mary Houton; Erin Kelly-Hellyer; Amelia Schlak; Linda H Aiken Journal: J Nurs Care Qual Date: 2021 Jan-Mar 01 Impact factor: 1.728
Authors: Amelia E Schlak; Linda H Aiken; Jesse Chittams; Lusine Poghosyan; Matthew McHugh Journal: Int J Environ Res Public Health Date: 2021-01-12 Impact factor: 3.390