A Statewide Study of the Association of Nurse Involvement in Decision Making and Nurse/Patient Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/155913
Type:
Presentation
Title:
A Statewide Study of the Association of Nurse Involvement in Decision Making and Nurse/Patient Outcomes
Abstract:
A Statewide Study of the Association of Nurse Involvement in Decision Making and Nurse/Patient Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Houser, Janet, PhD, RN
P.I. Institution Name:Regis University
Title:Associate Dean for Research
Co-Authors:Linda Stroup RN, MSN, Associate Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: This study described nurses' perceptions about their level of involvement in hospital decisions. The relationship between staff nurse perceptions of involvement and organizational outcomes was analyzed.
Methods:  Fifteen hospitals were selected using stratified random sampling, of which nine submitted usable data. The unit of analysis was a Patient Care Unit (PCU), with a final sample size of 54. Data were collected from staff nurses using an electronic survey. These included eleven "involvement" questions, three questions about intent to leave, and the Practice Environment Scale. Eleven PCU outcome indicators included factors representing patient satisfaction, nurse satisfaction, infections, and adverse events.  Correlation and chi square analyzed the strength and direction of relationships. Multivariate analysis of variance (MANOVA) was used to determine if PCUs with high levels of involvement differed on the outcome variables from those with low involvement.
Results: Nurses on PCUs with high involvement were less likely to think of quitting; patients on these units had fewer infections and pressure ulcers.  PCU's that involved nurses in planning for staffing had higher nursing satisfaction. Formal structures for involvement were not associated with either nurse or patient outcomes. Informal structures were more strongly associated with nursing satisfaction. Involvement in outcomes evaluation was associated with lower pressure ulcers and infections.  Nurses' perceptions that the organization was supportive of their involvement had the greatest impact; it was associated with lower adverse events, infections, and patient complaints.
Conclusion: Involving nurses in decisions is related to nurse and patient satisfaction and reduced adverse events. It is not necessary to have sophisticated formalized structures in place to affect the outcomes; informal structures may be more strongly related to nurse satisfaction. Involving nurse in examining outcomes may reduce pressure ulcers and some infections. A critical influence is the perception that the organization values nurse involvement in decisions.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Statewide Study of the Association of Nurse Involvement in Decision Making and Nurse/Patient Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155913-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Statewide Study of the Association of Nurse Involvement in Decision Making and Nurse/Patient Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Houser, Janet, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Regis University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Dean for Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jhouser@regis.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Linda Stroup RN, MSN, Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose: This study described nurses' perceptions about their level of involvement in hospital decisions. The relationship between staff nurse perceptions of involvement and organizational outcomes was analyzed. <br/>Methods:&nbsp; Fifteen hospitals were selected using stratified random sampling, of which nine submitted usable data. The unit of analysis was a Patient Care Unit (PCU), with a final sample size of 54. Data were collected from staff nurses using an electronic survey. These included eleven &quot;involvement&quot; questions, three questions about intent to leave, and the Practice Environment Scale. Eleven PCU outcome indicators included factors representing patient satisfaction, nurse satisfaction, infections, and adverse events.&nbsp; Correlation and chi square analyzed the strength and direction of relationships. Multivariate analysis of variance (MANOVA) was used to determine if PCUs with high levels of involvement differed on the outcome variables from those with low involvement. <br/>Results: Nurses on PCUs with high involvement were less likely to think of quitting; patients on these units had fewer infections and pressure ulcers.&nbsp; PCU's that involved nurses in planning for staffing had higher nursing satisfaction. Formal structures for involvement were not associated with either nurse or patient outcomes. Informal structures were more strongly associated with nursing satisfaction. Involvement in outcomes evaluation was associated with lower pressure ulcers and infections.&nbsp; Nurses' perceptions that the organization was supportive of their involvement had the greatest impact; it was associated with lower adverse events, infections, and patient complaints. <br/>Conclusion: Involving nurses in decisions is related to nurse and patient satisfaction and reduced adverse events. It is not necessary to have sophisticated formalized structures in place to affect the outcomes; informal structures may be more strongly related to nurse satisfaction. Involving nurse in examining outcomes may reduce pressure ulcers and some infections. A critical influence is the perception that the organization values nurse involvement in decisions.</td></tr></table>en_GB
dc.date.available2011-10-26T14:16:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:16:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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