AI Article Synopsis

  • This study explored the gap between registered nurses' (RNs') actual and desired involvement in decision-making across various categories related to their roles.
  • A sample of 196 RNs completed surveys, revealing that they generally want more participation in decision-making than they currently have.
  • The only factor influencing this gap was the work setting, suggesting that more research is needed to identify causes and potential solutions to improve RNs’ job satisfaction.

Article Abstract

Purpose: This study aimed to determine the level of actual and preferred decisional involvement and ascertain whether there is decisional dissonance among registered nurses (RNs).

Subjects And Methods: A convenience sample of 196 RNs completed a demographic form and the Decisional Involvement Scale, a tool that measures actual and preferred decisional involvement for RNs in 6 categories: unit staffing, quality of professional practice, professional recruitment, unit governance and leadership, quality of support staff practice, and collaboration/liaison activities. From these data, the level of and difference between RN's actual and preferred decisional involvement was analyzed. In addition, the impact of level of education, years of experience, hours worked per pay period, and work setting on actual and preferred decisional involvement were measured.

Results And Conclusions: A statistically significant difference was found between RNs' actual and preferred decisional involvement, with RNs preferring more decisional involvement than they actually experienced. Work setting was the only variable to which a difference could be attributed. Further study is warranted to find causes of decisional dissonance and interventions that could help alleviate the problem and potentially increase job satisfaction.

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http://dx.doi.org/10.1097/00006216-200607000-00011DOI Listing

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