title: Nurse Engagement in Shared Governance and Patient and Nurse Outcomes.
abstract: OBJECTIVE
  The objectives of this study were to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes.
  
  
  BACKGROUND
  There is little empirical evidence examining the relationship between shared governance and patient outcomes.
  
  
  METHODS
  A secondary analysis of linked cross-sectional data was conducted using nurse, hospital, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data.
  
  
  RESULTS
  Engagement varied widely across hospitals. In hospitals with greater levels of engagement, nurses were significantly less likely to report unfavorable job outcomes and poor ratings of quality and safety. Higher levels of nurse engagement were associated with higher HCAHPS scores.
  
  
  CONCLUSIONS
  A professional practice environment that incorporates shared governance may serve as a valuable intervention for organizations to promote optimal patient and nurse outcomes.
authors.affiliation: Author Affiliations: Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing (Drs Kutney-Lee, Germack, Hatfield, and Aiken and Mr Dierkes); and Pennsylvania Hospital (Dr Hatfield; Mss Kelly, Maguire, and Del Guidice; and Mr Dierkes), Philadelphia.
authors.forename: Ann
authors.initials: A
authors.lastname: Kutney-Lee
authors.forename: Hayley
authors.initials: H
authors.lastname: Germack
authors.forename: Linda
authors.initials: L
authors.lastname: Hatfield
authors.forename: Sharon
authors.initials: S
authors.lastname: Kelly
authors.forename: Patricia
authors.initials: P
authors.lastname: Maguire
authors.forename: Andrew
authors.initials: A
authors.lastname: Dierkes
authors.forename: Mary
authors.initials: M
authors.lastname: Del Guidice
authors.forename: Linda H
authors.initials: LH
authors.lastname: Aiken
mesh_terms: D002055:Burnout, Professional / Q000517:prevention & control; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009741:Nursing Staff, Hospital / Q000523:psychology*; D009746:Nursing, Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D010361:Patients / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States