Decisional Involvement

Abstract

A sample of 1933 registered nurses working in 24 hospitals with shared leadership was surveyed to examine perceptions of nurse decisional involvement. Council participation was associated with higher decisional involvement scores (P = .03), and nurse experience was a statistically significant predictor of decisional involvement (P < .01). Nurse manager and staff registered nurse scores were significantly different (P < .01). Shared leadership may promote staff nurse perceptions of involvement in decision-making.

A Survey of Interim Nurse Managers to Understand the Role and the Impact on Nurse and Patient Outcomes

“…Finally, although scores for the DIS indicated a shared state of decision making, there was evidence to suggest decisional dissonance between IMs' perceived and desired involvement in decision making, indicating those in interim roles tend to want more involvement in decision making. 26,27…”

An Exploration of Factors Associated With Nurses' Perceptions of Decisional Involvement

“…Several studies have examined the interrelationships between nurse demographic and practice characteristics (eg, age, education, certification, practice area) and DI. 5,21,[23][24][25] Similarly, neither professional certification nor educational level of preparation was significantly correlated with nurses' actual DI. 24 However, actual and preferred DI scores were significantly correlated with years of nursing experience (P < .01) and shared leadership as measured by council participation (P < .05).…”

“…21 Assessment of decisional dissonance or the difference between how nurses rate their actual and preferred levels of decision-making is also useful to gauge how effective an organization is in closing the gap and enacting measures to improve nurses' comfort and desire with shared leadership. 5,[22][23][24] Nurse Characteristics Associated With Perceived DI Evidence supports the importance of shared leadership in improving the work environment (eg, staff satisfaction, retention). It is important to further understand the factors that influence DI in nursing practice.…”

Survey Research

“…In a 24-hospital study of 1933 RNs where shared leadership was in place, perceptions of nurse decisional involvement were measured using the DIS. 16 They reported significant differences in nurse manager and staff RN scores. The DIS was also used in a study of 320 RNs, which also reported significant differences in nurse manager and staff scores related to decisional involvement.…”

“…Research utilizing the 21-item DIS has reported these differences [16][17] ; however, the DIS 8 does not measure professional nursing governance. It measures actual and preferred decisional involvement of staff nurses and nursing unit managers.…”