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Measuring expectations for participative decision making among graduating nurses

E Pike1, A Wilson, G Chalykoff

  • 1University of New Brunswick. Pike@UNBSJ.ca

Journal of Nursing Measurement
|January 1, 1996
PubMed
Summary

This study developed the Participative Decision Making Scale for Nurses (PDMSN) to measure graduating nurses

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Organizational Psychology

Background:

  • Understanding nurses' expectations regarding participative decision-making (PDM) is crucial for improving nursing practice and workplace environments.
  • Nurses play a vital role in healthcare delivery, and their involvement in decision-making processes can impact patient care quality and staff satisfaction.

Purpose of the Study:

  • To develop and validate a scale measuring graduating nurses' expectations for participative decision-making (PDM).
  • To assess nurses' expectations for participation in various decision-making domains: clinical, unit-level, hospital-wide, and strategic.

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  • To provide an instrument for researchers and healthcare administrators to measure nurses' PDM expectations.
  • Main Methods:

    • Development of the Participative Decision Making Scale for Nurses (PDMSN), a four-subscale instrument.
    • Administration of the PDMSN to two groups of graduating nursing students.
    • Analysis of internal consistency (Cronbach's alpha) and construct validity through correlations with an alternative PDM scale.

    Main Results:

    • The PDMSN demonstrated high internal consistency across all subscales in both study groups (alpha coefficients ranging from .70 to .90).
    • Correlations among the subscales supported the instrument's structure.
    • Significant correlations with an existing PDM scale provided evidence of construct validity.

    Conclusions:

    • The Participative Decision Making Scale for Nurses (PDMSN) is a reliable and valid instrument for measuring nurses' expectations for participative decision-making.
    • The scale can be used to further research into nurses' involvement in decision-making across different levels of healthcare settings.
    • Findings support the importance of addressing nurses' expectations for decision-making to enhance their professional engagement and workplace satisfaction.