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LWW/NAQ NAQ200100 May 28, 2011 3:7<br />

<strong>Shared</strong> <strong>Governance</strong> <strong>and</strong> <strong>Empowerment</strong> <strong>in</strong> <strong>Registered</strong> <strong>Nurses</strong> 217<br />

of shared governance <strong>and</strong> empowerment <strong>in</strong><br />

nurses work<strong>in</strong>g <strong>in</strong> a shared governance practice<br />

model. Results of this study support the<br />

relationship between shared governance <strong>and</strong><br />

empowerment. In addition, study results support<br />

the relationship between Lasch<strong>in</strong>ger’s<br />

conceptual model, on the basis of Kanter’s<br />

theory of structural empowerment <strong>in</strong> an organization.<br />

As shared governance <strong>in</strong>creased, so<br />

did empowerment. Significant relationships<br />

were found between nurses’ perceptions of<br />

empowerment <strong>and</strong> access to opportunity, <strong>in</strong>formation,<br />

support, <strong>and</strong> resources. <strong>Shared</strong><br />

governance provides a vital communication<br />

<strong>and</strong> decision-mak<strong>in</strong>g <strong>in</strong>frastructure. The current<br />

nurs<strong>in</strong>g shortage has revitalized the need<br />

for shared governance <strong>in</strong> nurs<strong>in</strong>g <strong>and</strong> provid<strong>in</strong>g<br />

an environment where nurses are <strong>in</strong>volved<br />

<strong>in</strong> decision-mak<strong>in</strong>g processes. Such an<br />

environment can lead to improved patient<br />

outcomes <strong>and</strong> <strong>in</strong>creased job satisfaction. 6,12<br />

Nurs<strong>in</strong>g leaders must cont<strong>in</strong>ue to identify <strong>and</strong><br />

susta<strong>in</strong> new strategies to empower nurses<br />

so that nurses can cont<strong>in</strong>ue to be an <strong>in</strong>tegral<br />

component <strong>in</strong> the health care delivery<br />

team.<br />

REFERENCES<br />

1. Swihart D. <strong>Shared</strong> <strong>Governance</strong>: A Practical Approach<br />

to Reshap<strong>in</strong>g Professional Nurs<strong>in</strong>g Practice.<br />

Marble Head, MA: Hcpro, Inc; 2006.<br />

2. Hess RG. From bedside to boardroom—nurs<strong>in</strong>g<br />

shared governance. Onl<strong>in</strong>e J Issues Nurs. 2004;9(1).<br />

www.nurs<strong>in</strong>gworld.org/nurs<strong>in</strong>gworld.org/oj<strong>in</strong>/topic<br />

23/tpc23_1.htm Published 2004. Accessed August<br />

7, 2007.<br />

3. Erickson JI, Hamilton GA, Jones DE, Ditomassi M.<br />

The value of collaborative governance/staff empowerment.<br />

JONA. 2003;33(2):96-104.<br />

4. Anthony MK. <strong>Shared</strong> governance models: the theory,<br />

practice, <strong>and</strong> evidence. Onl<strong>in</strong>e J Issues Nurs.<br />

9(1/4). http://nurs<strong>in</strong>gworld.org/oj<strong>in</strong>/topic23/tpc23-<br />

4.htm. Published 2004. Accessed August 13, 2007.<br />

5. Lasch<strong>in</strong>ger HK, Almost J, Tuer-Hodes D. Workplace<br />

empowerment <strong>and</strong> magnet hospital characteristics.<br />

JONA. 2003;33(7/8):410-422.<br />

6. Mangold KL, Pearson KK, Schmitz JR, Specht JP.<br />

Perceptions <strong>and</strong> characteristics of registered nurses’<br />

<strong>in</strong>volvement <strong>in</strong> decision mak<strong>in</strong>g. Nurs Adm Q.<br />

2006;30(3):266-272.<br />

7. American <strong>Nurses</strong> Credential<strong>in</strong>g Center Magnet<br />

recognition program. http://www.nurse credential<strong>in</strong>g.org/magnet.aspx.<br />

Published 2008. Accessed December<br />

12, 2008.<br />

8. Porter-O’Grady T. Foreword. In:Swihart D, ed.<br />

<strong>Shared</strong> <strong>Governance</strong>: A Practical Approach to Reshap<strong>in</strong>g<br />

Professional Nurs<strong>in</strong>g Practice. Marblehead,<br />

MA: Hcpro, Inc; 2006.<br />

9. American Hospital Association. In Our H<strong>and</strong>s: How<br />

Hospital Leaders can Build a Thriv<strong>in</strong>g Workforce.<br />

Wash<strong>in</strong>gton, DC: AHA Commission on Workforce for<br />

Hospitals <strong>and</strong> Health Systems; 2002.<br />

10. Institute of Medic<strong>in</strong>e. Keep<strong>in</strong>g Patients Safe: Transform<strong>in</strong>g<br />

the Work Environment of <strong>Nurses</strong>. Wash<strong>in</strong>gton,<br />

DC: National Academics Press; 2004.<br />

11. Parsons ML, Cornett P, Wilson R. Capacity build<strong>in</strong>g<br />

for magnetism at multiple levels. A healthy workplace<br />

<strong>in</strong>tervention, Part II—An emergency department’s<br />

healthy workplace process <strong>and</strong> outcomes. Top Am<br />

Med. 2004;26: 296-304.<br />

12. Upenieks V, Abelew S. The magnet designation<br />

process. A qualitative approach us<strong>in</strong>g Donabedian’s<br />

conceptual framework. Health Care Man.<br />

2006;25(3):243-253.<br />

13. McClure M, H<strong>in</strong>shaw A, eds. Magnet Hospitals Revisited:<br />

Attraction <strong>and</strong> Retention of Professional<br />

<strong>Nurses</strong>. Wash<strong>in</strong>gton, DC: American <strong>Nurses</strong> Publish<strong>in</strong>g;<br />

2002.<br />

14. Kuokkanen L, Le<strong>in</strong>o-Kilipi H, Katajisto J. Nurse<br />

empowerment, job-related satisfaction, <strong>and</strong> organizational<br />

commitment. J Nurs Care Qual.<br />

2003;18(3):184-192.<br />

15. Lasch<strong>in</strong>ger HKS, F<strong>in</strong>egan J, Shamian J, Wilk P. Impact<br />

of structural <strong>and</strong> psychological empowerment on job<br />

stra<strong>in</strong> <strong>in</strong> nurs<strong>in</strong>g work sett<strong>in</strong>gs: exp<strong>and</strong><strong>in</strong>g Kanter’s<br />

model. JONA. 2001;31(5):260-272.<br />

16. Lasch<strong>in</strong>ger HKS,Wong CA, Greco P. The impact of<br />

staff nurse empowerment on person-job fit <strong>and</strong> work<br />

engagement/burnout. Nurs Adm Q. 2006;30(4):358-<br />

367.<br />

17. Lasch<strong>in</strong>ger HKS, Sabiston J, Kutszcher L. <strong>Empowerment</strong><br />

<strong>and</strong> staff decision <strong>in</strong>volvement <strong>in</strong> nurs<strong>in</strong>g work<br />

environments: test<strong>in</strong>g Kanter’s theory of structural<br />

empowerment <strong>in</strong> organizations. ResNursHealth.<br />

1997:20;341-352.<br />

18. O’May F, Buchan J. <strong>Shared</strong> governance: a literature<br />

review. Int J Nurs Stud. 1999;36:281-300.<br />

19. Porter-O’Grady T. Letter to editor. JONA.<br />

1995;25(7/8):8-9.<br />

20. Porter-O’Grady T, Hawk<strong>in</strong>s M, Parker M. Whole-<br />

Systems <strong>Shared</strong> <strong>Governance</strong>. Gaithersburg, MD: Aspen<br />

Publishers; 1997.<br />

Copyright © 2011 Lipp<strong>in</strong>cott Williams & Wilk<strong>in</strong>s. Unauthorized reproduction of this article is prohibited.

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