ABSTRACT
A sample of 1933 registered nurses working in 24 hospitals with shared leadership was surveyed to examine perceptions of nurse decisional involvement. Council participation was associated with higher decisional involvement scores (P = .03), and nurse experience was a statistically significant predictor of decisional involvement (P < .01). Nurse manager and staff registered nurse scores were significantly different (P < .01). Shared leadership may promote staff nurse perceptions of involvement in decision-making.
Subject(s)
Decision Making, Organizational , Leadership , Nurse Administrators/psychology , Nursing Staff, Hospital/psychology , Humans , Perception , Surveys and QuestionnairesABSTRACT
Ever rising patient acuity, new nursing staff practitioners, and cumbersome documentation processes potentially impact quality of care. Nurse managers are challenged to utilize creative strategies to minimize risk potential and improve patient outcomes. One 36-bed medical/ surgical/telemetry unit focused on improving competence in clinical assessment and documentation associated with the determinants of STABLE. Education centered on a simple approach based on the use of an acronym to memorize concepts and trigger the recall of 6 key points of care. Evaluation of documentation after pain implementation indicated significant improvement in nursing practice.
