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Learning Objective 1: At the completion of this presentation the learner will be able to describe the decisonal involement scale and its psychometrice properties.
Learning Objective 2: The learner will be able to distinguish between Magnet and Non-magnet facilities staff and administrative nurses decisionl involement and the association to enhancing shared leadership.
Shared decision making is a necessity to ensure nurses have the opportunity to make decisions about practice and subsequent impact on outcomes. The purpose of this study was to examine differences in decisional involvement among magnet, pre-magnet and non-magnet facilities in a large healthcare system.
Methods:
A convenience sample of 1402 staff and administrative nurses completed the Decisional Involvement Scale (DIS) reflecting a 28% response rate. Of the fourteen facilities participating in the study, two are magnet designated, four are preparing for magnet application and the remaining are considered non-magnet facilities. The reliable and valid instrument measures actual and preferred decisional involvement on six subscales as well as yielding a total scale score. Subjects could complete the instrument via survey monkey or paper and pencil.
Results:
A statistically significant difference in staff and administrative nurses’ actual decisional involvement existed between magnet and non-magnet facilities; however, no differences existed between pre-magnet and the remaining facilities. No differences were identified regarding staff and administrative nurses preferred decisional involvement among the 3 types of facilities.
Conclusion:
Staff and administrative nurse’s actual decisional involvement varied by Magnet status however preferred involvement remained equally high among all facilities within the health care system. Facilities pursuing Magnet designation would benefit from utilizing the decisional involvement scale as an assessment tool for evaluating current versus future shared leadership goals.
Havens, D.S. & Vasey, J. (2003). Measuring staff nurse decisional involvement: the decisional involvement scale. Journal of Nursing Administration. 33(6), 331-336.
Havens, D.S, & Vasey, J. (2005). The staff nurse decisional involvement scale. Nursing Research. 54(6), 376-383.
Mangold, K.L., Pearson, K.K., Schmitz, J.R. & Specht, J.P. (2006). Perceptions and characteristics of registered nurses’ involvement in decision making. Nursing Administration Quarterly. 30(3), 266-272.
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