The objective of this study was to determine the relationship between nurse involvement in decisions and nurse-patient outcomes.
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.
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.
Involving nurses in outcomes evaluation was associated with better patient outcomes. High involvement units had fewer infections and pressure ulcers.
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.
Supplemental Digital Content is available in the text.
Author Affiliations: Academic Dean (Dr Houser), Rueckert-Hartman College for Health Professions, Regis University, Denver, Colorado; Member of the 08-188 Research Planning Committee (Ms ErkenBrack); Staff Nurse (Ms Handberry), Progressive Care Unit, Swedish Medical Center, Englewood, Colorado; Executive Director-Policy Director (Ms Ricker), Colorado Nurses Association, Denver; Associate Chair (Ms Stroup), Department of Nursing, Metropolitan State College of Denver, Colorado.
Funding was provided for this study by Colorado Senate Bill 08-188, The Colorado Trust, and Sigma Theta Tau, Alpha Kappa chapter.
The authors declare no conflicts of interest.
Correspondence: Dr Houser, Rueckert-Hartman College for Health Professions, Regis University, Mail Code G-6, 3333 Regis Blvd, Denver, CO, 80221 (email@example.com).
Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.jonajournal.com).