Predictive Relationships Among Nurses' Perceptions of Shared Governance, Psychological Empowerment, and Turnover Intentions.

BACKGROUND

A significant shortage of experienced nurses poses a major challenge in health care. Although evidence indicates that shared governance, a hallmark of Magnet organizations, supports nurse retention, gaps remain in understanding how psychological empowerment influences this relationship.

OBJECTIVE

The purpose of this study was to investigate predictive pathways among nurses' perceptions of shared governance, psychological empowerment, and turnover intention, with psychological empowerment examined as a mediating mechanism.

METHODS

A total of 313 nurses from an integrated care system participated in a cross-sectional survey study. Data were analyzed using descriptive and inferential statistics.

RESULTS

Nurses' perceptions of shared governance predicted turnover intention, with psychological empowerment partially mediating this relationship. The combined effects accounted for 24% of the variance in nurses' turnover intention.

CONCLUSIONS

Nurse leaders should invest in shared governance principles that foster psychological empowerment as an intentional leadership strategy to effectively reduce turnover intention.