Nurse Decision-Making by pitbull99


									                                                                             Nurse Decision-Making
Reference                     Sample              Design                             Topic                                   Recommendations                        Strength and

Frith, K., & Montgomery,      687 RNs, LPN,       Nonexperimental, survey            Explore the perceptions,                1. Results showed a decrease in
M.                            care technicians,   research design where pre-         knowledge, and commitment of            perception and knowledge of
                              medical             implementation responses           clinical staff to shared governance     shared governance between the 2
Perceptions, knowledge,       receptionists in    were compared to post-                                                     survey periods –contributed to the
and commitment of             the pre -           implementation responses. A                                                idealism of shared governance
clinical staff to shared      implementation      nonprobability sampling                                                    compared to the reality of
governance. Nursing           survey and 961      method was used.                                                           implementing shared governance.
Administration Quarterly,     staff members in                                                                               2. Commitment to shared
2006, 30(5): 273-284.         the post-                                                                                      governance increased during the
                              implementation                                                                                 same time.
                              survey.                                                                                        3. Overall, the participants and
                                                                                                                             non-participants were committed
                                                                                                                             to shared governance. The clinical
                                                                                                                             staff recognized shared
                                                                                                                             governance as a process, not a
                                                                                                                             project, and that it takes time to
                                                                                                                             share responsibility,
                                                                                                                             accountability, and authority for
                                                                                                                             nursing practice.
Krairiksh, M., &              647 RNs             Cross-sectional descriptive        Investigate the relations among         1. Nurse-physician collaboration
Anthony, M.K.                 working on 28       study. Secondary analysis of       staff nurses’ participation in phases   contributed to greater
                              adult medical       the Variations in Nursing          of the decision-making process          participation in all phases of both
Benefits and outcomes of      and surgical        Practice Model study.              related to decisions in nursing         care giving and condition- of -
staff nurses’ participation   units in 3                                             practice, competencies of nurse         work design.
in decision-making.           hospitals           The data was derived from the      manager leadership, and nurse-          2. The competency of nurse
JONA, 2001, 31(1): 16-                            responses of staff nurses in a     physician collaboration                 manager leadership had a small
33.                                               questionnaire asking about                                                 but significantly positive
                                                  their participation in decision-                                           correlation with participation in
                                                  making, their perception of the                                            both types of decision-making,
                                                  competency of nurse manager                                                but did not have a significant
                                                  leadership, and their                                                      effect on phases of participation in
                                                  collaboration with physicians.                                             both types of decisions.
Reference                   Sample               Design                             Topic                                   Recommendations                     Strength and

                                                                                                                            3. Conclusions: Evidence supports
                                                                                                                            the relations among an
                                                                                                                            organizational structure, an
                                                                                                                            organizational process, and a
                                                                                                                            provide process of healthcare.
Mangold, K.L., Pearson,     196 RNs              Convenience sample                 Determine the level of actual and       A statistically significant
K.K., Schmitz, J.J, &                                                               preferred decisional involvement;       difference was found between
Specht, J.P.                                                                        and ascertain whether there is          RNs’ actual and preferred
                                                                                    decisional dissonance among RNs         decisional involvement, with RNs
Perceptions and                                                                                                             preferring more decisional
characteristics of                                                                                                          involvement than they actually
registered nurses’                                                                                                          experienced.
involvement in decision-
making. Nursing
Administration Quarterly,
2006, 30(3): 266-272.
Cox, K., Teasley, S.,       Convenience          Data collection tools requested    Assess whether pediatric nurse          1. Nurse perception of manager
Lacey, S., & Sexton, K.     sample of 4,584      demographic info from the          perceptions of the work                 support was low across all groups
                            RNs working          respondents and the                environment differed (1) from           evaluated in the study. Enhanced
Work environment            direct patient       completion of the Individual       nurses employed in non-pediatric        communication and visibility of
perceptions of pediatric    care in either       Workload Perception Scale          settings, (2) by the type of            nurse managers may be an
nurses. Journal of          pediatric or non-    (IWPS). Data were analyzed         pediatric practice setting, or (3) by   important strategy for improving
Pediatric Nursing, 2007,    pediatric practice   using descriptive statistics and   year of birth.                          nurse perceptions of manager
22(1): 9-14                 settings in          inferential statistics.                                                    support.
                            multiple                                                                                        2. Pediatric nurses report more
                            facilities across                                                                               positive perceptions of unit
                            multiple states.                                                                                support than nurses in non-
                            Data were                                                                                       pediatric settings.
                            collected                                                                                       3. Pediatric nurses report more
                            throughout 2003,                                                                                positive perceptions of overall
                            2004, and 2005                                                                                  nursing satisfaction.
                                                                                                                            4. Nurses employed in critical
                                                                                                                            care units and younger pediatric
Reference                      Sample              Design                         Topic                                   Recommendations                       Strength and

                                                                                                                          nurses appear to report the most
                                                                                                                          positive perceptions of key
                                                                                                                          aspects of the work environment.
                                                                                                                          5. Opportunities may exist to
                                                                                                                          address work environment issues
                                                                                                                          for mid-career nurses and those
                                                                                                                          working in non-critical care areas.
Cullen, L. & Titler, M.        Convenience         Program evaluation has both    An evidence-based practice staff        1. Classroom days have been
                               sample.             qualitative and quantitative   nurse internship was developed at       condensed to allow more
Promoting evidence-                                components                     the University of Iowa Hospitals        facilitated work sessions
based practice: An             Evaluation                                         and Clinics to offer support to         2. Program was extended from 12
internship for staff nurses.   questionnaire                                      nurses in making it a reality in care   months to 18-24 months to allow
Worldviews on Evidence-        (N=6); Focus                                       delivery. Article focused on the        time for project evaluation and
Based Nursing, 2004,           group findings:                                    evaluation of the internship and        integration into unit quality
1(4): 215-223                  Staff nurse                                        pertinent implications.                 improvement and educational
                               (N=6); Nurse                                                                               programs
                               Manager (N=5);                                                                             3. Team coordination and
                               APN (N=8)                                                                                  communicating project
                                                                                                                          developments with colleagues in
                                                                                                                          the clinical area are challenging
                                                                                                                          and important.
                                                                                                                          4. Best projects come from topics
                                                                                                                          identified by staff nurses.
                                                                                                                          Need identified for additional
                                                                                                                          expertise in mentoring others in
                                                                                                                          evidence-based practice.
Lacey, S., Cox, K.,            3337 nurses from    Individual Workload            To examine the differences              The Magnet program is meeting
Lorfing, K., Teasley, S.,      11 states, 15       Perception Scale.              between nurses’ scores on               its intended goal to provide a
Carroll, C., and Sexton,       institutions, and                                  organizational support, workload,       professional practice environment
K.                             292 diverse                                        satisfaction, and intent to stay        for staff nurses.
Nursing support,               units.                                             between Magnet, Magnet-aspiring,
workload, and intent to                                                           and non-Magnet Hospitals.
stay in Magnet, Magnet-
Reference                    Sample            Design                     Topic                                 Recommendations                         Strength and

Aspiring, and non-Magnet
hospitals. JONA, 2007,
37(4) 199-205.

Erickson, J., Hamilton,      Convenience       Descriptive, comparative   Collaborative governance was          1.   The collaborative structure
G., Jones, D., &             sample of 657     design                     introduced as one of nine                  appears to influence
Ditomassi, M.                RNs and other                                structures within the patient care         empowerment.
                             healthcare                                   services’ professional practice       2.   Initiating collaborative
The value of collaborative   professionals                                model to facilitate communication          governance requires support
governance / staff           over a 3.5 year                              and optimize staff participation in        and the presence of the vice
empowerment. JONA,           period                                       decision-making across disciplines.        president for patient care
2003, 33(2): 96-104                                                       The committee structure allows the         services, director of the center
                                                                          disciplines to interface with each         for clinical and professional
                                                                          other and bring the unique                 development, committee co-
                                                                          perspective of each group to               chairs and coaches.
                                                                          discussions of mutual concern.        3.   Experienced growing unity
                                                                          The concept of empowerment was             within each group and a
                                                                          used to evaluate the impact of the         visible respect for unique
                                                                          collaborative governance structure         perspectives.
                                                                          on members.                           4.   Collaborative governance
                                                                                                                     committees are an effective
                                                                                                                     forum for aligning clinicians’
                                                                                                                     efforts with patient care
                                                                                                                     services’ strategic plan.

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