Nursing Shared Governance as Perceived by Nurses in the Private Nursing Department, Maharaj Nakorn Chiang Mai Hospital
Keywords:
Nursing Shared Governance, promoting factors of nursing shared governance., Nursing Shared Governance, promoting factors of nursing shared governanceAbstract
Nursing shared governance is a management that allows nurses to participate in decisions and will empower nurses to deliver high-quality patient care. The objective of this study was to explore the perception of nursing shared governance and study the promoting factors of nursing shared governance among nurses in the Private Nursing Department, Maharaj Nakorn Chiang Mai Hospital. The population in this study was 132 professional nurses. Research instrument is a questionnaire that includes 2 parts: 1) The Index of Professional Nursing Governance (IPNG) Index developed by Hess (2010) which was translated into Thai by Natanong Pitchayakun (2019) The Cronbach’s alpha of IPNG was .97 and 2) The opened questions about promoting factors of nursing shared governance. The data was analyzed using descriptive statistics including frequency, percentage, mean, and standard deviation.
The results of study illustrated as follow:
- Nurses and nursing managers had equally shared in some subscales of nursing shared governance (m = 183.33, s = 47.16). Considering the scores of each subscale of the nursing shared governance, decisions equally shared by nurses and nursing managers in the control over personnel (m = 38.00, s = 14.11) and participation in committee structure (m = 24.05 (s = 7.92). Whereas decisions not equally shared by nurses and nursing managers in access to information (m = 36.80, s = 10.29), influence over resources that support the practice (m = 31.08, s = 47.16), control over professional practice (m = 35.78, s = 10.06) and goal setting & conflict resolution (m = 17.61, s = 5.89).
- Nurses reported that the promoting factors of nursing shared governance included the use of 360 degree feedback, giving nurses a greater autonomy, increasing hospital communication channels, and promoting nurses to conduct a research; innovation; and use evidence based practice in delivery patient care
The results of this study will be benefits for nursing administrators to conduct activities which could enhance nurses to be actively involved in decision making about administration and nursing practice in hospitals.
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