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Staff meetings are a regular occurrence in schools, yet both teachers and principals typically report dissatisfaction with these meetings. The current investigation seeks to understand the viewpoints of public-school teachers on silence during staff meetings. This was the first known investigation on the topic using Q methodology. Data analysis extracted three distinct viewpoints: "Get the Party Started, I Don't Care Anymore, and Don't Stop Believin'." This study provides the results of data analysis, responds to research questions, and makes recommendations for meeting design and facilitation. The findings indicate how the principal facilitates the meeting seems to have a more pronounced influence on teacher silence behaviors, teacher attitudes towards staff meetings, and their own silence levels, while the leadership style was less impactful. Regardless of the principal's leadership style, teachers report increased satisfaction when the principal intentionally designed and facilitated relevant and impactful staff meetings where group norms were followed.

OBJECTIVE: To evaluate differences in the shared decision-making perceptions of clinical nurses between initial implementation of a shared governance model and perceptions 3 years later after the model has matured. BACKGROUND: Shared decision-making empowers nurses to have a voice in their practice and supports engagement and retention. METHODS: A prospective, 2-group comparative design was conducted using the Index of Professional Nursing Governance, a validated, reliable tool. After comparing data univariately, a multivariable linear regression model was used to evaluate the impact of nurse characteristics on shared decision-making responses. RESULTS: Mean overall shared decision-making score (P =.23) and domain scores (P values between.055 and.63) did not increase in 2015 compared with 2012. After adjusting for differences in nurse characteristics between groups, overall score (P =.017) and 3 of 6 domain scores improved: professional control of work, structures for decisions and access to information (all P values between.005 and.031). CONCLUSION: As shared governance became established, shared decision-making scores increased. [ABSTRACT FROM AUTHOR]

Purpose: To determine if end-tidal carbon dioxide (etCO 2 ) value increased nurses' perceptions of confidence in patients' readiness for postanesthesia care unit (PACU) discharge., Design: Prospective, cross-sectional, comparative, one-group (pre-post) design., Methods: Nurses completed 2 assessments of confidence in readiness for discharge, before and after etCO 2 monitoring. Patient (discharge pain level, body mass index, sleep apnea history, and opioid use) and nurse factors were assessed. Analyses included descriptive and comparative statistics., Findings: Of 133 patients, mean (standard deviation) etCO 2 was 36.1 (5.7) mm Hg. Nurses' confidence in readiness for discharge differed before and after etCO 2 assessment. Confidence score decreased when etCO 2 was low (P = .003) or high (P = .005), compared with normal values. In linear regression, etCO 2 remained a factor in nurses' confidence in readiness for discharge (P < .001)., Conclusions: In a PACU, etCO 2 monitoring changed nurses' perceptions of confidence in patients' readiness for discharge., (Copyright © 2019 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)