Index Of Professional Nursing Governance Research Articles

The Impact of Shared Governance Model’s Implementation on Professional Governance Perceptions of Nurses in Saudi Arabia: A Randomised Controlled Trial

Objective. This study aimed to evaluate the impact of the shared governance model application on the level of perceived professional governance among clinical nurses in a tertiary hospital in Riyadh. Background. Professional governance continues traditional governance, shared governance, and self-governance. Shared governance (SG) is the engagement of clinical nurses in decision-making at different levels. This empowers nurses, increases job satisfaction, improves clinical outcomes, and enhances patient satisfaction. Methods. This randomised control trial in which researchers distributed the Index of Professional Nursing Governance (IPNG) to a random sample of 440 nurses working in a 1200-bed tertiary hospital in Riyadh and divided into experimental and control groups. The intervention included designing and implementing a nursing shared governance model at the hospital level; professional governance was measured before and eight months after implementation. The IPNG was used to measure nurses’ perceived level of professional governance before and after the intervention. The sample was divided into experimental and control groups. Results. By comparing experimental and control groups, there was no statistically significant difference between them regarding professional governance subscales and the total IPNG scores before the intervention. At the same time, there was a considerable difference between them after the intervention. Moreover, the scores of the six professional governance subscales and the overall IPNG scores significantly increased after the intervention in the experimental group. They showed no significant difference in the control group. Conclusion. Designing and implementing specific shared governance structures and processes effectively enhanced nurses’ perceived level of shared governance at the hospital, as evidenced by significantly higher postintervention IPNG scores. Elements of the shared governance model that proved effective included engaging nurses in decision-making at various organizational levels and empowering their involvement.

The ELEVATE Study: Evaluating the Impact of Educational Professional Governance Workshop on Nurses' Perceptions of Shared Decision-Making.

The ELEVATE study evaluated whether an educational workshop would improve the perceptions of shared decision-making of nurses in an organization as demonstrated by an increase in Index of Professional Nursing Governance (IPNG) score. Available literature insufficiently links educational interventions to improvements in shared professional governance. Six hundred ninety-one participants' IPNG scores were analyzed before and after an educational workshop was administered to formal administrative leaders and registered nurse (RN) RN council leaders every 6 months during a 2-year research study. Index of Professional Nursing Governance scores were higher for RNs participating in nursing councils than scores for those who did not. The organization's IPNG scores remained stable from 2019 to 2021. Secondary analysis may suggest that council members were more resilient during crisis. Further investigation is needed researching the relationship between professional governance education and RNs' perception of shared decision making.

Relationship between nurses’ perception of professional shared governance and their career motivation: A cross-sectional study

ObjectivesThis study aimed to investigate the level of professional shared governance and career motivation and their relationship among nurses in Egypt. MethodsA cross-sectional survey was conducted. A total of 724 nurses working in inpatient medical, surgical, and critical care units in Alexandria Main University Hospital were recruited from May to August 2022. The Index of Professional Nursing Governance (IPNG) version 3.0 and the Career Motivation Scale were used for evaluation. ResultsThe IPNG version 3.0 total score was 109.18 ± 22.76, that nurses perceived had a low level of professional shared governance; the access to information dimension achieved the highest average mean score (2.81 ± 0.76), followed by the ability to set goals and conflict resolution dimension (2.75 ± 0.53). On the other hand, the dimension of participation in the committee structure achieved the lowest average mean score (1.65 ± 0.37). The total score of career motivation was 69.82 ± 9.70 this reflects that nurses perceived a moderate level of career motivation. The career insight dimension achieved the highest average mean score (3.56 ± 0.34), while the career resilience dimension achieved the lowest average mean score (3.07 ± 0.49). Male nurses, less than 30 years old, had a bachelor’s degree in nursing sciences, and worked in the ICU had higher total scores of the IPNG and career motivation (P < 0.001). There was a positive correlation between the IPNG version 3.0 score and the Career Motivation Scale score (r = 0.239, P = 0.003). ConclusionsThe study’s findings can serve as a theoretical foundation for nursing managers to re-plan the management model and develop appropriate methods to give better career planning for nurses.

Shared Governance among Nurses: A Descriptive Study from Jordan

Background: Shared governance of employees is crucial in building trust within healthcare organizations. Control over practice, ownership of actions, feeling of independence and involvement in work decisions significantly increase employees’ intent to stay, whereas exclusion from the decision-making process leads to a higher rate of turnover. Improving decision-making and enhancing collaboration among nursing staff and nurse leaders pave the way for greater autonomy and management of healthcare delivery. Purpose: The study aims to examine shared governance perceptions among Jordanian registered nurses in different clinical areas. Methods: A descriptive, cross-sectional design was used using the RN-focused index of professional nursing governance survey. A convenient sample consisting of 261 nurses was recruited from three hospitals in Jordan between 2017 and 2018. Results: The total shared governance score ranged between 86 and 344 with a mean of 175.6. There were slight differences in the total shared governance scores among the hospitals under study. However, when the sub-scales were compared across the three hospitals, some differences emerged, specifically in nurses’ total perceived personnel and total perceived goal and conflict. The median age of the sample members was 28 years and about a half of them (54%) were males. Conclusion: Our results demonstrated that there is a room to increase the level of nurses’ control and influence in decision-making, particularly in those departments that scored lower on the index of professional nursing governance. Implications for Nursing: The study results have implications in nursing administration, policy development and decision-making when choosing/adopting a model of organizational SG to cultivate excellence in the workplace. Keywords: Shared governance, Registered nurses, Work environment.

The perception of shared governance and engagement in decision-making among nurses.

Shared governance is a structural framework for operationalizing nursing ownership and accountability for nursing practice. Healthcare institutions are striving to promote healthy and satisfactory work conditions to retain their qualified personnel and achieve organizational stability and high care quality. However, little is known about nurses' participation in governance in developing countries. This study aims to evaluate the levels of shared governance, also known as professional governance, among nurses in Jordan. The demographics of the study participants will also be assessed. The current study used a cross-sectional design implementing an anonymous online survey technique to collect data from 111 nurses on the Index of Professional Nursing Governance (IPNG). Descriptive statistics were performed to evaluate the nurses' perception of the concept of shared governance in the domains of personnel, information, resources, participation goals and conflict resolution, and practice. Among the 111 nurses, 55% of the participants were females, 45.5% were affiliated with governmental hospitals, and about half of them worked in critical care units. The analysis showed that the mean score for the total IPNG was 113 (SD = 26.28). The analyses of the mean scores of IPNG domains ranged from 11.5 (SD = 4.6) for goals and conflict resolution to 23.8 (SD = 5.7) for access to information. The results revealed that nurses' average perception of professional governance demonstrated shared governance, and more specifically, in the lower level of shared governance where decisions are made primarily by management with some staff input. Analysis of the domains of governance revealed that participants' scores corresponded with shared governance in the areas of information, resources, goals and conflict, and practice, while traditional governance was prevalent in the governance of nursing personnel and participation. There is an agreement on the need of moving the position of frontline nurses to the center of their organizations where equity, accountability, and ownership are the pillars of participative governance. Frontline nurses need further empowerment to be more actively engaged especially in the management of nursing staff and related structures and in the participation in structures connected to governance activities at different organizational levels such as in committees.

Survey Research: Do All RN Types Have the Same Perceptions Regarding Professional Nursing Governance?

Researchers examined professional nursing governance perception differences by RN type (clinical, manager, and other RNs), and nurse-related outcome associations. Shared governance is associated with improved nurse-related outcomes. Understanding differences in RN types regarding shared governance perceptions is important and not well studied. Mean Index of Professional Nursing Governance (IPNG) scores from 3 hospitals' 502 RNs were used to evaluate associations by RN type and unit-based nurse-related outcomes. Descriptive and inferential statistical methods were used. Shared governance was the predominant finding (overall score and 4 of 6 subscale scores) with no significant differences by RN type. Traditional governance was scored for 1 subscale (control over personnel), which was not significant. There were no significant differences in the IPNG score associations with outcomes data by RN type. Clinical nurses, managers, and other RN types perceived their governance as shared, without significant difference in the nurses' perceptions based on role.

Professional governance in Finnish nursing - measured by the Index of Professional Nursing Governance.

To translate and validate the Index of Professional Nursing Governance (IPNG) 2.0 and assess the state of professional nursing governance in Finland. Raising and maintaining quality of care while retaining staff are common problems in healthcare globally. Professional governance is a modern way to tackle them, but a reliable instrument is needed to measure the state of nursing governance in Finland, and elsewhere. The IPNG that was translated into Finnish by forward-backward translation, culturally adapted and pilot tested with 20 nurses. A sample of 419 nurses was utilised in a cross-sectional study to assess the state of professional governance in Finland 2018. Principal component analysis yielded six components with good Cronbach's α values. The results clearly indicate that the IPNG version developed and evaluated in this study has suitable psychometric properties for use in Finnish healthcare settings. The validated IPNG scores indicate that nursing governance in Finland is in the professional governance range. The staff have some input in the governance of Finnish healthcare organisations. However, this perception is strongest among the nurse leaders and experts; other groups do not perceive much change yet. Participants, particularly nurse leaders in Finland, had self-reported impact in decision-making. The translated IPNG has acceptable internal consistency and can be used to assess healthcare organisations' governance models in Finland and broader in Nordic countries and Europe.

Perception of Shared Governance Among Registered Nurses in Ambulatory Care Center at a Tertiary Care Hospital in Saudi Arabia.

BackgroundShared governance is considered a model for mounting autonomous decision making in nursing profession and practice. This study aimed to assess how registered nurses in an outpatient department in a tertiary care hospital perceive shared governance.MethodsWe conducted a cross-sectional study among a convenient sample of registered nurses in an outpatient department. A self-administered, Index of Professional Nursing Governance (IPNG) questionnaire was used to measure the study outcome. A descriptive analysis was used to describe nurses' characteristics and study outcomes.ResultsA total of 186 nurses completed the questionnaire. Of whom, 151 (92.1%) were female, and 78 (47.3%) were aged between 20 and 30 years. Only 54 (29.3%) and 59 (31.7%) had indicated a shared decision in terms of controls and influence scales, respectively. The majority of the nurses indicated traditional shared across shared governance scales except in the access information scale.ConclusionThe findings showed a prevalent traditional nursing management style in the study setting. Supportive strategies and education must be provided for both managers and staff nurses to develop and implement shared governance in their practice.

Enhancing and Advancing Shared Governance Through a Targeted Decision-Making Redesign.

The study aim was to determine if a targeted redesign of shared decision making improved shared governance (SG). Nursing SG is collaborative decision making between nurses at every level; it improves quality of care, empowers nurses, and enhances nurse satisfaction. 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. IPNG overall score and 5 of 6 subscale scores significantly increased after the redesign. 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.

Structural Empowerment and the Nursing Practice Environment in Magnet® Organizations

The aim of this study was to describe the characteristics of shared governance and its relationship with nursing practice environments in Magnet® organizations. Structural empowerment is a core Magnet model component illustrated through shared governance. A paucity of literature exists describing it and its relationship to the nursing practice environment in Magnet organizations. E-mail surveys of Magnet chief nursing officers and leaders of their organization's nursing practice council were conducted using the Index of Professional Nursing Governance (IPNG) and the nursing Work Index-Revised (NWI-R). In Magnet organizations, the primary governance distribution is shared governance, with most subscales in the IPNG within the shared governance range. Total and subscale scores on the NWI-R ranged from 1.35 to 1.48, with significant, positive correlation between total IPNG score and total NWI-R score (r = 0.416, P < .001), as well as the NWI-R and IPNG subscales. This study provides new evidence that demonstrates the positive relationship between shared governance and the nursing practice environment in Magnet organizations.

Perceptions of Shared Governance Among Nurses at a Midwestern Hospital

Shared governance is a model of nursing leadership that drives practice. The purpose of this project was to determine whether nursing education, work experience, certification, employment position, setting (inpatient/ambulatory), participation in shared governance, and age were related and predictive of scores on the Index of Professional Nursing Governance (IPNG). The significance was to provide a basis on which to enhance a nursing shared governance model resulting in enhanced patient care. This prospective, cross-sectional study included nurses in any type of nursing role and with any level of educational preparation. An analysis of variance was employed to identify strength of relationships among the categorical or ordinal variables and regression models for the continuous variables. General linear models were used to identify the variables most predictive of IPNG scores. Of the 98 participants, most (96%) were women, 58% were bachelor's prepared, and 80% were staff nurses. The mean IPNG score was 186.5. No significant relationships were found among demographic measures and IPNG scores. A reported role in shared governance, when combined with work setting (inpatient or ambulatory), was predictive of IPNG scores. Nurses who worked in the inpatient setting reported higher mean IPNG scores.

Measuring nursing governance.

Despite outcomes studies measuring such variables as job satisfaction, autonomy, professionalism, turnover, leadership styles, and more recently, cost-effectiveness, no consistent relationships have been established between shared governance models and outcomes. To define and develop an instrument to measure the governance of hospital-based nurses. The 88-item Index of Professional Nursing Governance (IPNG) was developed to measure professional nursing governance of hospital-based nurses. Psychometric properties were tested with 1,162 registered nurses from 10 hospitals. Content validity after item generation was .95, using Popham's average congruency procedure. Six factors explained 42% of the variance with subscale intercorrelations between .43 and .67. All subscales had a high degree of internal consistency (alphas .87 to .91); test-retest reliability was .77. Construct validity testing showed that scores between shared governance and traditionally governed hospitals were significantly different. A correlation was found between scores on the IPNG and the Hague and Aiken Index of Centralization. The results of this study support the validity of the 88-item IPNG as a reliable instrument for measuring the distribution of professional nursing governance of hospitals.