Structures and practices enabling staff nurses to control their practice.

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 Res

authors

Kramer M,Schmalenberg C,Maguire P,Brewer BB,Burke R,Chmielewski L,Cox K,Kishner J,Krugman M,Meeks-Sjostrom D,Waldo M

doi

10.1177/0193945907310559

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

539-59

issue

5

eissn

0193-9459

issn

1552-8456

pii

0193945907310559

journal_volume

30

pub_type

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