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Decision-making autonomy in nursing.

D J Dwyer1, R H Schwartz, M L Fox

  • 1Department of Management, University of Toledo, OH.

The Journal of Nursing Administration
|February 1, 1992
PubMed
Summary
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Nurses have varied preferences for decision-making autonomy. Greater autonomy in patient care and unit management correlates with higher job satisfaction for nurses who desire it, while lower desire leads to dissatisfaction.

Area of Science:

  • Nursing
  • Organizational Psychology
  • Healthcare Management

Background:

  • Nursing literature often suggests nurses have limited needs for decision-making autonomy.
  • Understanding nurses' preferences for autonomy is crucial for job satisfaction and retention.

Purpose of the Study:

  • To investigate the varying preferences of nurses for decision-making autonomy in different work-related contexts.
  • To examine the relationship between nurses' preferences for autonomy and their job satisfaction.

Main Methods:

  • Survey or questionnaire-based study assessing nurses' preferences for autonomy.
  • Analysis of job satisfaction levels in relation to the degree of decision-making influence granted.

Main Results:

Related Experiment Videos

  • Nurses demonstrated diverse preferences for autonomy across three distinct types of work decisions.
  • Employed nurses with a higher preference for autonomy reported greater job satisfaction.
  • Nurses with little or no preference for autonomy experienced decreased job satisfaction as their decision-making influence increased.

Conclusions:

  • Nurses' preferences for decision-making autonomy are not uniform and vary by context.
  • Job satisfaction among nurses is significantly linked to aligning their level of autonomy with their preferences.
  • Implications exist for developing tailored decision-making programs to enhance nurse satisfaction and engagement.