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Structural Empowerment and the Nursing Practice Environment in Magnet® Organizations

Clavelle, Joanne T. DNP, RN, NEA-BC, FACHE; O’Grady, Tim Porter DM, EdD, APRN, NEA-BC, FAAN; Drenkard, Karen PhD, RN, NEA-BC, FAAN

JONA: The Journal of Nursing Administration: November 2013 - Volume 43 - Issue 11 - p 566–573
doi: 10.1097/01.NNA.0000434512.81997.3f

OBJECTIVE: The aim of this study was to describe the characteristics of shared governance and its relationship with nursing practice environments in Magnet® organizations.

BACKGROUND: Structural empowerment is a core Magnet model component illustrated through shared governance. A paucity of literature exists describing it and its relationship to the nursing practice environment in Magnet organizations.

METHODS: E-mail surveys of Magnet chief nursing officers and leaders of their organization’s nursing practice council were conducted using the Index of Professional Nursing Governance (IPNG) and the nursing Work Index–Revised (NWI-R).

RESULTS: In Magnet organizations, the primary governance distribution is shared governance, with most subscales in the IPNG within the shared governance range. Total and subscale scores on the NWI-R ranged from 1.35 to 1.48, with significant, positive correlation between total IPNG score and total NWI-R score (r = 0.416, P < .001), as well as the NWI-R and IPNG subscales.

CONCLUSIONS: This study provides new evidence that demonstrates the positive relationship between shared governance and the nursing practice environment in Magnet organizations.

Author Affiliations: Senior Vice President/Chief Nursing Officer (Dr Clavelle), Scottsdale Healthcare, Arizona; Senior Partner (Dr Porter-O’Grady), Tim Porter-O’Grady Associates, Atlanta, Georgia; Executive Director (Dr Drenkard), American Nurses Credentialing Center, Silver Springs, Maryland.

The authors declare no conflicts of interest.

Correspondence: Dr Clavelle, Scottsdale Healthcare, 9003 E Shea Blvd, Scottsdale, AZ 85260 (

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins