The Effect of a Shared Governance Model on Healthy Work Environment Among Perioperative Nurses

Thesis
Description: 

To achieve safe patient care, effective communication among health care team members is needed. Lack of communication is the leading cause of sentinel events in the perioperative setting. Communication between members of the perioperative team — the surgeon, anesthesiologist, circulating nurse, and scrub nurse or technologist affects team collaboration and patient safety. Communication has been identified as one of the key elements needed to accomplish team collaboration and a healthy work environment. In addition, the following five variables contribute to a healthy work environment: team collaboration, decision making, sufficient staffing, staff recognition, and authentic leadership.

The purpose of this study was to evaluate the effect of a unit-based professional practice council on the perioperative work environment. The aim was to assess communication and team collaboration before and after the implementation of a professional practice council among nurses working in the perioperative setting. A pre and posttest were distributed to a sample of operating room and recovery room nurses. Pre-implementation and post- implementation results were discussed using a t-test however could not be compared due to the variance in sample size and population. A Mann Whitney U test was used to compare pre and post implementation data. A total of 54 nurses completed a pre-implementation packet and a total of 10 nurses completed a post-implementation packet. The mean number of years of experience for the pre data collection group was 20 years, and the post data collection group mean years of experience were 11.5 years. Given the years of experience, job satisfaction, and nurse-assessed quality of care it would appear the pre implementation group had a higher job satisfaction score than the post implementation group. Themes of management support, quality teamwork and effective communication were identified. Variables of communication, team collaboration, decision making, sufficient staffing, staff recognition, and authentic leadership must be present in order to create healthy work environment.

Tabs

WHDL ID: 
WHDL-00006100
Tablet Validation: 
Not Suitable
DMI Validations: 
Not DMI Item
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