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Enfermería Global

On-line version ISSN 1695-6141


RODO COBO, Monserrat. Nursing governance and its impact on the quality of organization of health care services for older people in the Catalan region of Spain. Enferm. glob. [online]. 2017, vol.16, n.48, pp.384-407.  Epub Oct 01, 2017. ISSN 1695-6141.


Nursing governance consists of decisions made by nursing leaders in health organizations that respond to the needs of interest groups. Nursing leaders in the realm of social-health or intermediate care in Catalonia (Spain) were studied.


Analyze the governance variables in the social-health realm and their relationship with the quality perceived by patients.


Governance data was collected through a nursing governance questionnaire and patient satisfaction measured through Plaensa© (CatSalut 2013 patient satisfaction surveys). The consent of participants and approval by a bioethics committee were obtained. The statistical programs SPSS (from IBM) and Atlas.ti were used for data analysis.


Thirty-four (43.6%) nurses responded to the nursing governance questionnaire and nine to the Plaensa©. Information was collected about age, education, gender, years of experience and number of beds. The data collection took place between September 2014 and April 2015. The data was analyzed with a significance level of 5% and through nonparametric statistical tests. Correlations were found between patient satisfaction (Spearman) and: “Quality influences decisions” (p=0.006), “Research and update knowledge” (p=0.043), and “Develop strategic communication” (p=0.043). These results were similar to those obtained in studies such as Magnet Model®.


It would be worth delving deeper into the topics of governance, quality, knowledge, and communication through qualitative research. In the view of nurses, decision-making experience, power, representativeness, and care are inter-related, despite participation.

Keywords : Nursing governance; Organization of health care services; Quality.

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