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Selected Works of Sherri Garber Mendelson, PhD, RNC, CNS, IBCLC
Article
Enhancing and Advancing Shared Governance Through a Targeted Decision-Making Redesign.
The Journal of nursing administration
  • Ann E Dechairo-Marino, Providence Holy Cross Medical Center, Mission Hills, California
  • Mara E Collins Raggi, Providence Holy Cross Medical Center, Mission Hills, California
  • Sherri Garber Mendelson, Providence Holy Cross Medical Center, Mission Hills, California
  • Martha E F Highfield, Providence Holy Cross Medical Center, Mission Hills, California
  • Robert G Hess
Link
Document Type
Article
Publication Date
9-1-2018
Keywords
  • California,
  • Clinical Governance,
  • Community Health Services,
  • Cooperative Behavior,
  • Cross-Sectional Studies,
  • Decision Making,
  • Humans,
  • Job Satisfaction,
  • Nursing Staff, Hospital,
  • Power (Psychology),
  • Quality of Health Care,
  • Reproducibility of Results
Disciplines
Abstract

OBJECTIVE: The study aim was to determine if a targeted redesign of shared decision making improved shared governance (SG).

BACKGROUND: Nursing SG is collaborative decision making between nurses at every level; it improves quality of care, empowers nurses, and enhances nurse satisfaction.

METHODS: Using a quasi-experimental, pretest/posttest design, researchers electronically distributed the Index of Professional Nursing Governance (IPNG) to an inclusive, convenience sample of RNs in a Magnet®-designated 377-bed community medical center. Preintervention scores were used to tailor a redesign of shared decision making, and postintervention data were collected within 1 year to measure outcomes.

RESULTS: IPNG overall score and 5 of 6 subscale scores significantly increased after the redesign.

CONCLUSIONS: Changes to an SG structure can take 2 to 5 years to be realized. Our findings corroborate that the IPNG is a valuable tool in promoting setting-specific SG.

Specialty
Nursing
Citation Information
Ann E Dechairo-Marino, Mara E Collins Raggi, Sherri Garber Mendelson, Martha E F Highfield, et al.. "Enhancing and Advancing Shared Governance Through a Targeted Decision-Making Redesign." The Journal of nursing administration (2018)
Available at: http://works.bepress.com/sherri-mendelson/24/