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Recommended Citation
Sheehan E, Anderson K, Micek W, Panice J. Measuring Professional Governance Over Time: What Makes it Work?. Research podium presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Presentation Notes
Research podium presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Abstract
Background
Advocate Children’s Hospital (ACH) undertook a 5-year longitudinal study to assess a redesigned shared governance model. This study, re-launching a 2015 initiative, used 2019 data as the baseline. The goal was to compare professional governance structures over time, enhancing nurse autonomy, accountability, and ownership.
Purpose
This descriptive study aimed to evaluate the impact of the redesigned shared governance model at ACH. It sought to measure changes in professional governance scores before and after implementing the new model and identify factors influencing these changes.
Methods
The study included all associates at the Oak Lawn, Park Ridge campuses, covering inpatient, emergency, and ambulatory departments. Annual surveys from 2019 to 2023 used the Index of Professional Governance (IPG) tool, inclusive of interprofessional teammates. Exclusions were agency staff and those employed less than six months. Data were collected via email using Qualtrics and REDCap, with participants receiving a $5 meal ticket for survey completion. Statistical analysis was performed using SPSS, calculating reliability coefficients for each subscale and the overall instrument.
Results
Statistically significant improvements in overall governance scores were found from 2019 (M=157, SD=36.9) to 2023 (M=170, SD=57.8), with a p-value of 0.03. Significant increases were noted in four of six subscales: Control Over Personnel, Access to Information, Participation in Committee Structure, and Goal Setting & Conflict Resolution. While changes in Influence Over Resources and Control Over Professional Practice were not statistically significant, positive trends were observed. These findings highlight improved nurse engagement and increased professional autonomy.
Conclusions
The redesigned shared governance model at ACH improved professional governance scores, enhancing nurse involvement and empowerment. The study highlights the importance of structured frameworks, and fostering regular communication, executive mentorship, and leadership development. Building professional relationships and maintaining agility are crucial for integrating nurses into decision-making processes, thus enhancing practice quality and patient outcomes.
Document Type
Oral/Podium Presentation
Publication Date
11-13-2024
Measuring Professional Governance Over Time: What Makes it Work?
Background
Advocate Children’s Hospital (ACH) undertook a 5-year longitudinal study to assess a redesigned shared governance model. This study, re-launching a 2015 initiative, used 2019 data as the baseline. The goal was to compare professional governance structures over time, enhancing nurse autonomy, accountability, and ownership.
Purpose
This descriptive study aimed to evaluate the impact of the redesigned shared governance model at ACH. It sought to measure changes in professional governance scores before and after implementing the new model and identify factors influencing these changes.
Methods
The study included all associates at the Oak Lawn, Park Ridge campuses, covering inpatient, emergency, and ambulatory departments. Annual surveys from 2019 to 2023 used the Index of Professional Governance (IPG) tool, inclusive of interprofessional teammates. Exclusions were agency staff and those employed less than six months. Data were collected via email using Qualtrics and REDCap, with participants receiving a $5 meal ticket for survey completion. Statistical analysis was performed using SPSS, calculating reliability coefficients for each subscale and the overall instrument.
Results
Statistically significant improvements in overall governance scores were found from 2019 (M=157, SD=36.9) to 2023 (M=170, SD=57.8), with a p-value of 0.03. Significant increases were noted in four of six subscales: Control Over Personnel, Access to Information, Participation in Committee Structure, and Goal Setting & Conflict Resolution. While changes in Influence Over Resources and Control Over Professional Practice were not statistically significant, positive trends were observed. These findings highlight improved nurse engagement and increased professional autonomy.
Conclusions
The redesigned shared governance model at ACH improved professional governance scores, enhancing nurse involvement and empowerment. The study highlights the importance of structured frameworks, and fostering regular communication, executive mentorship, and leadership development. Building professional relationships and maintaining agility are crucial for integrating nurses into decision-making processes, thus enhancing practice quality and patient outcomes.