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  1. Houser, Janet PhD, RN
  2. ErkenBrack, Lysa MSN, RN
  3. Handberry, Lydia BSN, RN
  4. Ricker, Fran MSN, RN
  5. Stroup, Linda MSN, RN


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.