Date of Award

Summer 1990

Document Type

Thesis - Restricted

Degree Name

Master of Science (MS)

Department

Nursing

First Advisor

Wake, Madeline

Second Advisor

Fehring, Richard J.

Abstract

This study addressed the research questions: 1) What is the comparison of autonomy of nurses as measured before and after implementation of shared governance, a professional practice model, in a community hospital?; 2) How do nurses describe their autonomy after implementation of shared governance? A descriptive, comparison study design was employed, using a tool to measure autonomy of nurses developed by Schutzenhofer. Demographic data was collected as well as qualitative data to answer the second research question. The data was collected at a 216 community bed hospital in the midwest before and after implementation of shared governance. One hundred staff nurses were randomly selected from a total population of one hundred and seventy-one staff nurses employed at the study facility. One hundred ten surveys, fifty-five from time one and fifty-five from time two were used in the findings. Study findings did not demonstrate a statistical difference in autonomy scores between time one and time two. Responses to qualitative questions at time two largely reflected positive changes or a "wait and see" attitude. Implications for the hospital work setting and further study were discussed.

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