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WHDL - 00017048
The 2021 national average for nurse turnover in the United States was 27.1%. Healthcare organizations lose an average of $7.1 million annually due to the current nursing shortage crisis. Empowering nurses is critical to increasing nurse engagement and improving retention. Nursing shared governance models positively affect nurse engagement, job satisfaction, and retention, resulting in higher quality nursing care and better patient outcomes. This study aimed to implement a nursing shared governance structure and evaluate the impact on nurse engagement and retention rates. The general theory for effective multilevel shared governance construct guided project implementation. Nurse engagement was measured using the Utrecht Work Engagement Scale as a pre/post questionnaire. Monthly nurse turnover rates were collected to monitor retention. Data analysis was completed using an independent samples t-test. However, there was insufficient evidence to suggest a significant relationship between shared governance and nurse engagement or retention. Small sample sizes and short study duration resulted in inconclusive results that could not determine a significant relationship between nursing shared governance and nurse engagement or retention. Future projects should seek to replicate the process with larger sample sizes, utilize a more prolonged study timeframe, and consider using a control group to strengthen result quality.
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