Benefits and Outcomes of Staff Nurses' Participation in Decision Making

Krairiksh, Marisa; Anthony, Mary K.

doi:10.1097/00005110-200101000-00005

Cited by 70 publications

(49 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this research it was discovered that "being supported is an important predictor of nurses' effective participation in clinical decisions. In a study on benefits and outcomes of staff nurses' participation in decision-making, Krairikish and Anthony (2001) reported that nurse managers' leadership had little effects on staff nurses' participation in decisions [26]. However, nurses in our study implied that unsupportive management was a barrier to effective clinical decision-making.…”

Section: Discussionmentioning

confidence: 67%

“…Although Krairikish and Anthony (2001) implied that structure and setting process have little influence in decision making related to nursing practice [26], it seems that lack of time for completion the routine tasks has resulted in little time for nurses to participate in decision-making and independent nursing interventions, as confirmed by Fulton (1997). Perhaps it is for this reason that Anthony (1999) has suggested that authority has a weak relationship with the nurses' actual decision making [27].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study

2004

View full text Add to dashboard Cite

BackgroundNurses' practice takes place in a context of ongoing advances in research and technology. The dynamic and uncertain nature of health care environment requires nurses to be competent decision-makers in order to respond to clients' needs. Recently, the public and the government have criticized Iranian nurses because of poor quality of patient care. However nurses' views and experiences on factors that affect their clinical function and clinical decision-making have rarely been studied.MethodsGrounded theory methodology was used to analyze the participants' lived experiences and their viewpoints regarding the factors affecting their clinical function and clinical decision-making. Semi-structured interviews and participant observation methods were used to gather the data. Thirty-eight participants were interviewed and twelve sessions of observation were carried out. Constant comparative analysis method was used to analyze the data.ResultsFive main themes emerged from the data. From the participants' points of view, "feeling competent", "being self-confident", "organizational structure", "nursing education", and "being supported" were considered as important factors in effective clinical decision-making.ConclusionAs participants in this research implied, being competent and self-confident are the most important personal factors influencing nurses clinical decision-making. Also external factors such as organizational structure, access to supportive resources and nursing education have strengthening or inhibiting effects on the nurses' decisions. Individual nurses, professional associations, schools of nursing, nurse educators, organizations that employ nurses and government all have responsibility for developing and finding strategies that facilitate nurses' effective clinical decision-making. They are responsible for identifying barriers and enhancing factors within the organizational structure that facilitate nurses' clinical decision-making.

show abstract

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study

2004

View full text Add to dashboard Cite

show abstract

“…The recommendations from these three classic studies encourage increasing nursing involvement in decision-making to strengthen the patients, the professionals, and the organizational well-being. [24] Creating decisional involvement in work environments for the professional nursing practice is an exciting organizational strategy that holds promise for reducing job burnout and job dissatisfaction in healthcare settings. The results of this study highlight the importance of such organizational change efforts.…”

Section: Discussionmentioning

confidence: 99%

“…The AMS is a 3-point Likert-type format. A positive content indicates the motive to achieve success (MS) statements from (1-15), while a negative content indicates the motive to avoid failure (MF) statements from (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Tools Of Data Collectionmentioning

confidence: 99%

Achievement motivation and its relation to nurses’ decision making believes, ability, and job burnout at obstetric and gynecological departments

Sayed

Ali

2017

CNS

View full text Add to dashboard Cite

Objective: Challenges in todays' work environment require professional competent nurses not only educated well but being creative, have a desire to achieve success, able to work under pressure, and accomplish the organizational and personal goals. Aim of the study: The study was aimed at assessing nurses' achievement motivation and its relation to their decision making beliefs, ability, and job burnout at obstetrics and gynecological departments. Methods: Setting: This study was conducted in Port Said governorate, Egypt. Design: A descriptive co-relational research design was used. Subjects: Consisted of all staff nurses working in all obstetric and gynecologic departments affiliated to ministry of health, with a total number of 75 nurse. Tools: Achievement Motivation Scale (AMS), decision making beliefs, decision making ability questionnaire, and job burnout scale. Results: The study revealed that nurses' age ranged between 22 and 60 years. The majority of nurses were holding a nursing diploma. More than three quarters of nurses have achievement motivation and having well beliefs about decision making. The total mean score for decision making ability was 74.2 ± 7.3. Nearly half of nurses evaluated in this study have burnout. Conclusions: A significant correlation between achievement motivation and decision making ability while no statistically significant correlation was detected between achievement motivation and both of decision making beliefs and total score of job burnout. Recommendations: Strategies for the preservation and promotion of achievement motivation is very important. In addition, this study recommended in the different nursing departments to identify and influence achievement motivation among nursing staff.

show abstract

“…환경적 변수로는 간호 의사결정이 이루어지는 세팅 (Hansen & Thomas, 1968), 지각된 분권화 (Anthony, 1995;Choi, 1997;Yi, 2001;Yu, 2007), 임상지침서 (Davies, 1997;Tingle, 1997), 간호사-의사 협조관계 (Krairiksh & Anthony, 2001) 등이 있 었다. 그러나 간호사의 의사결정 연구에서 대상자는 주로 병원 의 간호사였으며, 가정간호사의 의사결정에 대한 연구는 소수 였다 (dela Cruz, 1994;O' Neil, 1996).…”

unclassified

A Study on Participation in Clinical Decision Making by Home Healthcare Nurses

Kim

2010

J Korean Acad Nurs

View full text Add to dashboard Cite

Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.

show abstract

Benefits and Outcomes of Staff Nurses' Participation in Decision Making

Abstract: The study findings provide evidence to support the relations among an organizational structure, an organizational process, and a provider process of healthcare. Further research is needed to clarify the relation among structure, process, and specific outcomes.

Cited by 70 publications

References 26 publications

The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study

The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study

Achievement motivation and its relation to nurses’ decision making believes, ability, and job burnout at obstetric and gynecological departments

A Study on Participation in Clinical Decision Making by Home Healthcare Nurses

Contact Info

Product

Resources

About