|
Sign In to gain access to subscriptions and/or personal tools.
|
Magnet Hospital Nurses Describe Control Over Nursing Practice
Marlene Kramer
Claudia E. Schmalenberg
Staff nurses describe control over nursing practice (C/NP) as a professional nursing function made up of a variety of activities and outcomes. Greater acclaim, status, and prestige for nursing in the organization are viewed as a result, not a precursor, of C/NP. Interviews with 279 staff nurses working in 14 magnet hospitals indicated that effective C/NP requires some kind of empowered, formal organizational structure, extends beyond clinical decision making at the patient care interface, and is the same as or highly similar to what the literature describes as professional autonomy. From constant comparative analysis of nurses' descriptions of C/NP activities, five ranked categories of this real-life event emerged. The basis for the categories and ranking was "who owned the problem, issue, and solution" and the "degree of effectiveness of control" as reflected in visibility, viability, and recognition of a formal structure allowing and encouraging nurses' control over practice. Hospital mergers and structural reorganization were reported to negatively affect the structure needed for effective C/NP. Almost 60% of these magnet hospital staff nurses stated and/or described little or no C/NP.
Key Words: essentials of magnetism • control over nursing practice • empowerment
Western Journal of Nursing Research, Vol. 25, No. 4,
434-452 (2003)
DOI: 10.1177/0193945903025004008
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
M. Kramer, C. Schmalenberg, P. Maguire, B. B. Brewer, R. Burke, L. Chmielewski, K. Cox, J. Kishner, M. Krugman, D. Meeks-Sjostrom, et al.
Walk the Talk: Promoting Control of Nursing Practice and a Patient-Centered Culture
Crit. Care Nurse,
June 1, 2009;
29(3):
77 - 93.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Schmalenberg and M. Kramer
Nurse-Physician Relationships in Hospitals: 20 000 Nurses Tell Their Story
Crit. Care Nurse,
February 1, 2009;
29(1):
74 - 83.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Kramer and C. Schmalenberg
The Practice of Clinical Autonomy in Hospitals: 20 000 Nurses Tell Their Story
Crit. Care Nurse,
December 1, 2008;
28(6):
58 - 71.
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. R. Delaney and P. Lynch
Magnet Forces: A Structure for a Transformation in Inpatient Psychiatric Nursing
Journal of the American Psychiatric Nurses Association,
October 1, 2008;
14(5):
346 - 352.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Kramer, C. Schmalenberg, P. Maguire, B. B. Brewer, R. Burke, L. Chmielewski, K. Cox, J. Kishner, M. Krugman, D. Meeks-Sjostrom, et al.
Structures and Practices Enabling Staff Nurses to Control Their Practice
West J Nurs Res,
August 1, 2008;
30(5):
539 - 559.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Kramer and C. Schmalenberg
Confirmation of a Healthy Work Environment
Crit. Care Nurse,
April 1, 2008;
28(2):
56 - 63.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Schmalenberg and M. Kramer
Types of Intensive Care Units With the Healthiest, Most Productive Work Environments
Am. J. Crit. Care.,
September 1, 2007;
16(5):
458 - 468.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. W. Stone and R. R. M. Gershon
Nurse Work Environments and Occupational Safety in Intensive Care Units
Policy Politics Nursing Practice,
November 1, 2006;
7(4):
240 - 247.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. T. Ulrich, R. Lavandero, K. A. Hart, D. Woods, J. Leggett, and D. Taylor
Critical Care Nurses' Work Environments: A Baseline Status Report
Crit. Care Nurse,
October 1, 2006;
26(5):
46 - 57.
[Full Text]
[PDF]
|
|
|
|
|
