Date of Award
Doctor of Nursing Practice (DNP)
Dr. Sheri Jacobson, PhD, RN
Dr. Lisa P. Teel, DNP, RN, NEA-BC, CCRN-K
Practice Problem: Nurse turnover can adversely impact any health system's financial performance and the clinical practice environment, and it is detrimental to patient safety and quality of care.
PICOT: The PICOT question that guided this project was for nurses on a Labor and Delivery and Antepartum unit at a 382-bed community hospital in Austell, GA(P), does the utility of a contemporary shared governance structure in everyday practice (I) compared to the current shared governance structure (C) decrease nurse turnover rates (O) within four weeks (T)?
Evidence: Shared governance permits the reduction of turnover and the intent to leave for nurses by promoting nursing autonomy and engagement, directly linked to decreasing turnover rates.
Intervention: The contemporary shared governance structure facilitated nurse decision-making at the point of care in real-time and interprofessional team collaboration to effect change.
Outcome: Nurse turnover rates compared four weeks prior and post-implementation showed a decrease from 68.26% to 63.08%, translating into a 5.11% drop-in turnover rates.
Conclusion: The contemporary shared governance structure facilitated the direct care nurse's ability to make changes at the point of care in collaboration with the interprofessional team using a rolling idea-generating process integrated into everyday practice. The project was clinically significant as it transformed the direct care nurse's autonomy in their practice fostering a positive practice environment in four weeks. This project showed how nurse engagement could be improved when on-demand decision-making in the clinical area was facilitated, resulting in reduced turnover to yield better patient outcomes and overall organization performance.
Kiwanuka, K. (2022). A Contemporary Shared Governance Structure and Its Role in Managing Nurse Turnover. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.SKHW8650
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