Comparison of Decisional Involvement Scores Among Magnet, Pre-Magnet and Non-Magnet Facilities in a Large Healthcare System

2.50
Hdl Handle:
http://hdl.handle.net/10755/201803
Category:
Abstract
Type:
Presentation
Title:
Comparison of Decisional Involvement Scores Among Magnet, Pre-Magnet and Non-Magnet Facilities in a Large Healthcare System
Author(s):
Houston, L. Susan; Fike, Angela; Leveille, Marygrace; Luquire, Rosemary
Author Details:
L. Susan Houston,BSN, MSN, PhD, RN, FAAN, NEA-BC, email: susan.houston@baylorhealth.edu; Angela Fike MBA, RN-BC; Marygrace Leveille PhD, RN, ACNP-BC; Rosemary Luquire PhD, RN, FAAN, NEA-BC
Abstract:
(41st Biennial Convention) Purpose: Shared decision making is a necessity to ensure nurses have the opportunity to make decisions about practice and subsequent impact on outcomes. The purpose of this study was to examine differences in decisional involvement among magnet, pre-magnet and non-magnet facilities in a large healthcare system.  Methods: A convenience sample of 1402 staff and administrative nurses completed the Decisional Involvement Scale (DIS) reflecting a 28% response rate. Of the fourteen facilities participating in the study, two are magnet designated, four are preparing for magnet application and the remaining are considered non-magnet facilities. 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 in staff and administrative nurses’ actual decisional involvement existed between magnet and non-magnet facilities; however, no differences existed between pre-magnet and the remaining facilities. No differences were identified regarding staff and administrative nurses preferred decisional involvement among the 3 types of facilities.  Conclusion: Staff and administrative nurse’s actual decisional involvement varied by Magnet status however preferred involvement remained equally high among all facilities within the health care system.  Facilities pursuing Magnet designation would benefit from utilizing the decisional involvement scale as an assessment tool for evaluating current versus future shared leadership goals. Havens, D.S. & Vasey, J. (2003). Measuring staff nurse decisional involvement: the decisional involvement scale. Journal of Nursing Administration. 33(6), 331-336. Havens, D.S, & Vasey, J. (2005). The staff nurse decisional involvement scale. Nursing Research. 54(6), 376-383. Mangold, K.L., Pearson, K.K., Schmitz, J.R. & Specht, J.P. (2006). Perceptions and characteristics of registered nurses’ involvement in decision making. Nursing Administration Quarterly. 30(3), 266-272.
Keywords:
decisional involvement scale; shared governance
Repository Posting Date:
11-Jan-2012
Date of Publication:
11-Jan-2012
Conference Date:
2011
Conference Host:
Sigma Theta Tau International
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleComparison of Decisional Involvement Scores Among Magnet, Pre-Magnet and Non-Magnet Facilities in a Large Healthcare Systemen_GB
dc.contributor.authorHouston, L. Susanen_US
dc.contributor.authorFike, Angelaen_US
dc.contributor.authorLeveille, Marygraceen_US
dc.contributor.authorLuquire, Rosemaryen_US
dc.author.detailsL. Susan Houston,BSN, MSN, PhD, RN, FAAN, NEA-BC, email: susan.houston@baylorhealth.edu; Angela Fike MBA, RN-BC; Marygrace Leveille PhD, RN, ACNP-BC; Rosemary Luquire PhD, RN, FAAN, NEA-BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/201803-
dc.description.abstract(41st Biennial Convention) Purpose: Shared decision making is a necessity to ensure nurses have the opportunity to make decisions about practice and subsequent impact on outcomes. The purpose of this study was to examine differences in decisional involvement among magnet, pre-magnet and non-magnet facilities in a large healthcare system.  Methods: A convenience sample of 1402 staff and administrative nurses completed the Decisional Involvement Scale (DIS) reflecting a 28% response rate. Of the fourteen facilities participating in the study, two are magnet designated, four are preparing for magnet application and the remaining are considered non-magnet facilities. 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 in staff and administrative nurses’ actual decisional involvement existed between magnet and non-magnet facilities; however, no differences existed between pre-magnet and the remaining facilities. No differences were identified regarding staff and administrative nurses preferred decisional involvement among the 3 types of facilities.  Conclusion: Staff and administrative nurse’s actual decisional involvement varied by Magnet status however preferred involvement remained equally high among all facilities within the health care system.  Facilities pursuing Magnet designation would benefit from utilizing the decisional involvement scale as an assessment tool for evaluating current versus future shared leadership goals. Havens, D.S. & Vasey, J. (2003). Measuring staff nurse decisional involvement: the decisional involvement scale. Journal of Nursing Administration. 33(6), 331-336. Havens, D.S, & Vasey, J. (2005). The staff nurse decisional involvement scale. Nursing Research. 54(6), 376-383. Mangold, K.L., Pearson, K.K., Schmitz, J.R. & Specht, J.P. (2006). Perceptions and characteristics of registered nurses’ involvement in decision making. Nursing Administration Quarterly. 30(3), 266-272.en_GB
dc.subjectdecisional involvement scaleen_GB
dc.subjectshared governanceen_GB
dc.date.available2012-01-11T10:53:42Z-
dc.date.issued2012-01-11en_GB
dc.date.accessioned2012-01-11T10:53:42Z-
dc.conference.date2011en_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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