Abstract:
:This mixed-methods study uses interviews, participant observations, and the CWEQII empowerment tool to identify structures and attributes of structures that promote control over nursing practice (CNP). Nearly 3,000 staff nurses completed the Essentials of Magnetism (EOM), an instrument that measures CNP, one of the eight staff nurse-identified essential attributes of a productive work environment. Strategic sampling is used to identify 101 high CNP-scoring clinical units in 8 high-EOM scoring magnet hospitals. In addition to 446 staff nurses, managers, and physicians on these high-scoring units, chief nursing officers, chief operating officers, and representatives from other professional departments are interviewed; participant observations are made of all unit/departmental/hospital council and interdisciplinary meetings held during a 4 to 6 day site visit. Structures and components of viable shared governance structures that enabled CNP are identified through constant comparative analysis of interviews and observations, and through analysis of quantitative measures.
journal_name
West J Nurs Resjournal_title
Western journal of nursing researchauthors
Kramer M,Schmalenberg C,Maguire P,Brewer BB,Burke R,Chmielewski L,Cox K,Kishner J,Krugman M,Meeks-Sjostrom D,Waldo Mdoi
10.1177/0193945907310559subject
Has Abstractpub_date
2008-08-01 00:00:00pages
539-59issue
5eissn
0193-9459issn
1552-8456pii
0193945907310559journal_volume
30pub_type
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