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The relationship between a shared governance management structure and registered nurse job satisfaction: A comparison of two hospitals

Valerie Teresa Mancini, University of Massachusetts Amherst

Abstract

The purpose of this study was to determine if a shared governance management structure significantly affects the level of job satisfaction of registered nurses who work in hospitals. It was also intended to document which components are identified by registered nurses as impacting on their job satisfaction or dissatisfaction. The index of Work Satisfaction (IWS) was used to measure job satisfaction among two groups of nurses, one working in a hospital with a shared governance management structure (n = 99) and the other working in a hospital without a shared governance management structure (n = 143). IWS results indicated higher levels of satisfaction among nurses at the hospital with the shared governance management structure in three of the six components, namely Autonomy, Task Requirements, and Organizational Policies. Nurses at the hospital with the shared governance management structure were asked to respond to four additional questions. These were designed to measure to what degree nurses perceived shared governance to be working on their unit as well as in their hospital. These nurses were also asked to what degree they valued shared governance for Nursing. Results indicate the majority of nurses perceived shared governance to be "working well" on their unit and at their hospital. The majority also highly valued shared governance for Nursing. The findings of this study suggest that there may be a relationship between job satisfaction of registered nurses and a management structure which encourages decision making at the staff nurse level. Implications for the restructuring of nursing organizations are drawn. Recommendations for further research are provided.

Subject Area

Nursing|Health care

Recommended Citation

Mancini, Valerie Teresa, "The relationship between a shared governance management structure and registered nurse job satisfaction: A comparison of two hospitals" (1990). Doctoral Dissertations Available from Proquest. AAI9101640.
https://scholarworks.umass.edu/dissertations/AAI9101640

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