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Nurses' Perception of Shared Decision-Making Processes: Quantifying a Shared Governance Culture.

Sally O Gerard1, Deborah L Owens, Patricia Oliver

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The Journal of Nursing Administration
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Measuring nurses

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Area of Science:

  • Nursing Practice
  • Healthcare Management

Background:

  • Shared governance (SG) enhances nurse autonomy and control over professional practice.
  • Nurse engagement in SG is influenced by their desired level of decision-making power, known as decisional involvement (DI).
  • Limited research exists on the concept of decisional involvement in nursing.

Purpose of the Study:

  • To evaluate the benefits of measuring nurses' perceived and desired decision-making capacity within a shared governance model.
  • To establish a baseline for shared decision-making and identify areas for improvement in nursing practice.

Main Methods:

  • The Decisional Involvement Scale was administered to acute care nurses.
  • Nurses reported on their desired and perceived decision-making involvement across 21 nursing practice topics.

Main Results:

  • Data revealed varying governance priorities among nurses in different practice areas.
  • Nurses with over five years of experience in shared governance councils did not report greater satisfaction with decision involvement.

Conclusions:

  • Comprehensive evaluation of shared decision-making is crucial for identifying improvement opportunities.
  • Sustaining a robust shared governance model necessitates continuous analysis and refinement.
  • Assessing nurses' desire for control in various aspects of decisional involvement enables targeted organizational efforts to strengthen shared governance.