Authors

1. Di Fiore, Tina MSN, RN, NNP-BC, CNS
2. Zito, Antoinette MSN, RN, CPAN
3. Berardinelli, Amy DNP, RN, CPAN, NE-BC
4. Bena, James F. MS
5. Morrison, Shannon L. MS
6. Keck, Diane E. MSM, BSN, RN, CEN
7. Kennedy, Kathleen MSN, RN, CCNS
8. Stibich, Ann BSN, RN-BC
9. Albert, Nancy M. PhD, RN, CCNS, NE-BC, FAAN

Abstract

OBJECTIVE: To evaluate differences in the shared decision-making perceptions of clinical nurses between initial implementation of a shared governance model and perceptions 3 years later after the model has matured.

BACKGROUND: Shared decision-making empowers nurses to have a voice in their practice and supports engagement and retention.

METHODS: A prospective, 2-group comparative design was conducted using the Index of Professional Nursing Governance, a validated, reliable tool. After comparing data univariately, a multivariable linear regression model was used to evaluate the impact of nurse characteristics on shared decision-making responses.

RESULTS: Mean overall shared decision-making score (P = .23) and domain scores (P values between .055 and .63) did not increase in 2015 compared with 2012. After adjusting for differences in nurse characteristics between groups, overall score (P = .017) and 3 of 6 domain scores improved: professional control of work, structures for decisions and access to information (all P values between .005 and .031).

CONCLUSION: As shared governance became established, shared decision-making scores increased.