Document Details
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Document Type |
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Thesis |
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Document Title |
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NURSES PERCEPTION TOWARD SHARED GOVERNANCE IN CLINICAL PRACTICE AT GENERAL HOSPITALS IN JEDDAH CITY. ادراك الممرضين تجاه الحوكمة المشتركة في الممارسة السريرية في المستشفيات العامة في مدينة جدة. |
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Subject |
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Faculty of Nursing |
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Document Language |
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Arabic |
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Abstract |
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Shared Governance is an evidence-based approach. The characteristics of the work environment of shared governance are autonomous and empowering, where nurses providing direct care have a voice in influencing areas that have been controlled previously by the managers. Shared governance structure aims to improve communication, increases personal growth and nurse's satisfaction and improves patient outcomes (Siller, Dolansky, Clavelle, Fitzpatrick and AZ, 2016). Shared Governance is a vital element of the American Nurses Credentialing Center (ANCC) Magnet Recognition Program which falls under the structural empowerment component.
Tim Porter-O’Grady defines Shared Governance as "a structural model through which nurses can express and manage their practice with a higher level of professional autonomy" (Porter-O'Grady, 2003, p. 251). Furthermore, Hess (2017) has defined the Shared Governance as "a nursing management innovation that legitimizes nurse decision-making control over their professional practice while extending their influence to administrative areas previously controlled by management”.
In organizations which have Shared Governance structure in place, staff nurses have a voice in operating clinical and administrative process, as it is mainly characterized by a decentralized organization structure. This will create tremendous challenges in healthcare organizations which practice traditional governance where the managers have the highest authority. Therefore, careful transition to Shared Governance structure is important for both nursing managers and staff nurses to gradually shift the power and acknowledge their new roles. This preparation requires time for nurse managers to learn how to accept decisions and recommendations originated by the different councils (Overcash, Petty, Brown, 2012).
Significance of the Study:
Lack of knowledge and awareness of Shared Governance in direct care staff nurses in the ministry of health general hospitals provide the need to examine the perception of nursing Shared Governance. In addition, limited studies conducted in Saudi Arabia to measure the nurses' perception toward Shared Governance. Thus, this study will provide the baseline data to assist the nursing leaders to enhance the degree of nursing professional Shared Governance in the future.
The Saudi Arabian 2030 vision focus on improving the nursing profession image in Saudi culture as well as to make it an attractive career to reduce nursing shortage, thereby providing the nurses the control over their practice and encourage the nursing autonomy will result in increasing the nursing job satisfaction, decrease turnover and foster positive work environment to attract more Saudi graduates to the nursing field. Thereby, this will positively affect the quality of patient care provided and the entire healthcare system.
Aim of the Study:
To assess nurses' perception toward Shared Governance at general hospitals in Jeddah city.
Research Question:
• What is the nurses' perception toward Shared Governance at general hospitals in Jeddah?
Design:
Quantitative descriptive cross-sectional study.
Setting:
Three general ministry of health hospitals in Jeddah city which are King Fahad General Hospital, King Abdulaziz Hospital & Oncology Center and East Jeddah Hospital.
Sample:
All registered nurses with at least one-year experience who are working in general wards, critical care wards and nursing administration, nursing quality, & nursing education departments with all nursing managerial levels were included.
Instrument:
Data were collected using one questionnaire which is the RN-focused Index of Professional Nursing Governance (IPNG). The study questionnaire was divided into two sections Section A and Section B. Section A was modified by the researcher to assess the demographic data of the participants. Section B was the shorter IPNG version 3.0 which was developed by Dr. Robert Hess in June, 2017. This questionnaire consists of 50 items which include six subscales representing the dimensions of professional governance.
Results:
The overall mean score of nurses' perception toward shared governance is (118.70). The highest mean score is Resources subscale with (24.74) while the Goals subscale has the lowest mean score with (12.54). Statically significant differences were found in nurses' perception toward Shared Governance according to their age, educational degree, years of experience in nursing, current position title and working unit at p value ≤ 0.05.
Conclusion:
This study has shown that nurses perceived the governance as shared at their organizations which indicate their participation in decision making influencing their practice. Nurses believe that they have control over all the governance dimensions except for "control over personnel" dimension which scored as traditional governance.
Recommendations:
• Nursing administrators can use the IPNG results of this study to address areas for improvement needed. This will allow nursing administrators to focus their efforts for increasing the scores to reach Shared Governance in the future.
• Develop education program and workshops for both nursing managers and staff nurses to increase their knowledge about Shared Governance, conflict management and decision-making skills. This can be conducted by Shared Governance council team or by nursing education department.
• Longitudinal research is recommended after a well implementation of shared governance structure in the study settings to remeasuring the perception of Shared Governance among nurses.
• A Further research is suggested to compare between ministry of health general hospitals and other specialized hospitals in the same region.
• Conduct future research to explore the association between the participation of Shared Governance process and positive outcomes. |
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Supervisor |
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Dr. Ghada Hammouda |
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Thesis Type |
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Master Thesis |
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Publishing Year |
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1442 AH
2020 AD |
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Added Date |
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Saturday, February 6, 2021 |
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Researchers
| إيمان حميد الجهني | Al-Johani, Eman Hameed | Researcher | Master | |
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