Staff nurse decisional involvement: an Internet mixed-method study in Taiwan

Abstract

The government, health care organisations, nursing leaders should reexamine the influence of work setting factors, workload and management style to nurses' actual decisional involvement.

Nurse Participation in Continuing Education in Disaster Nursing in Taiwan

“…The hospital-based workforce and, particularly, hospital nurses, have the largest proportion of health care workers. 18 Therefore, a nursing workforce shortage can have a negative impact on a hospital's capacity to respond to disasters and public emergencies. 19 Accordingly, the influences of the nursing shortage on the nursing workforce response to disasters should be addressed and explored from policy, practical, and educational perspectives.…”

Collaboration amongst clinical nursing leadership teams: a mixed-methods sequential explanatory study

“…Shared governance and a sense of empowerment amongst nurses are posited as correlates of patient satisfaction and quality of care (Lees & Meyer , Liu et al . ), and various ways are proposed to enable this. However, the findings of this study reinforce that collaboration is a complex concept, influenced and dependent upon personal, interpersonal and organisational (Moore & Prentice , Pfaff et al .…”

Factorial Validity of the Decisional Involvement Scale as a Measure of Content and Context of Nursing Practice

“…Using two different samples, Havens and Vasey (, ) reported internal consistency reliability estimates of .79 and .70 for the Unit Staffing Subscale (DIS 1), .82 and .82 for the Quality of Professional Staff Practice Subscale (DIS 2), .89 and .90 for the Professional Recruitment Subscale (DIS 3), .84 and .86 for the Unit Governance/Leadership Subscale (DIS 4), .88 and .90 for the Quality of Support Staff Practice Subscale (DIS 5), and .72 and .70 for the Clinical Liaison Subscale (DIS 6). In other studies, DIS internal consistency reliability estimates ranged from .61 for the Unit Governance/Leadership Subscale to .87 for the remaining subscales (Ahmed & Safadi, 2013; Bina et al, ; Havens, Warshawski, & Vasey, ; Houston et al, ; Jaafarpour & Khani, 2011; Liu, Hsu, & Chen, ; Scherb, Specht, Loes, & Reed, ; Ugur, Scherb, & Specht, ).…”

“…Across studies, staff nurses consistently described their level of preferred decisional involvement as significantly higher than the level of decisional involvement they actually experienced. Typically, staff nurses described shared decisional involvement as their preference but identified administrators or managers as those who actually were involved in making most decisions (Ahmed & Safadi, 2013;Bina et al, 2013;Liu et al, 2015;Jaafarpour & Khani, 2011;Mangold et al, 2006;Scherb et al, 2011).…”

“…Houston et al () found that, in comparison to part‐time nurses, full‐time nurses reported greater actual decisional involvement. Liu et al () found an inverse relationship between workload and level of actual decisional involvement, in that staff nurses who described their workload as heavy described themselves as less involved in actually making decisions. Finally, Havens et al () found that a professional practice environment, strong relational coordination, and greater decisional involvement were significant predictors of staff nurses’ work engagement.…”