Involving nurses in decisions: Improving both nurse and patient outcomes

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Objective: The objective of this study was to determine the relationship between nurse involvement in decisions and nurse-patient outcomes. Background: Evidence demonstrates that nurse involvement is associated with satisfaction, but little evidence exists about patient effects. Because of significant resource expenditure, evidence about expected outcomes is needed. Methods: Outcomes classified as patient satisfaction, nurse satisfaction, infections, and adverse events were compared between units with high and low levels of involvement from 9 hospitals in Colorado. Results: Involving nurses in outcomes evaluation was associated with better patient outcomes. High involvement units had fewer infections and pressure ulcers. Conclusions: A formal structure was not required to involve nurses in decisions and is related to nurse and patient satisfaction demonstrating a reduction in adverse events. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.

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