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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 staff nurses 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 their practice and how it impacts outcomes. The purpose of this study was to examine the level of actual and preferred decisional involvement among staff and administrative nurses in a large 14 facility health care system.
Methods:
A convenience sample of 1402 full and part-time staff and administrative nurses completed the Decisional Involvement Scale (DIS) reflecting a response rate of 28%. 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 was found between staff nurses’ actual and desired decisional involvement for all six subscales and total scale score. A statistically significance difference was found among administrative nurses desiring more decisional involvement then actually experienced in the work environment. Additionally, statistically significant differences were found between staff nurses and administrative nurses decisional involvement scale scores allowing some assessment of concordance between the two groups.
Conclusion:
Staff and administrative nurses desired more decisional involvement regarding their practice environment which provides support for strengthening shared governance efforts across the health care system.