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Decisional Involvement

Differences Related to Nurse Characteristics, Role, and Shared Leadership Participation

Fischer, Shelly A., PhD, RN, NEA-BC, FACHE; Horak, Dawn, MSN, RN, CPPS, CEN; Kelly, Lesly A., PhD, RN

doi: 10.1097/NCQ.0000000000000312

A sample of 1933 registered nurses working in 24 hospitals with shared leadership was surveyed to examine perceptions of nurse decisional involvement. Council participation was associated with higher decisional involvement scores (P = .03), and nurse experience was a statistically significant predictor of decisional involvement (P < .01). Nurse manager and staff registered nurse scores were significantly different (P < .01). Shared leadership may promote staff nurse perceptions of involvement in decision-making.

Fay W. Whitney School of Nursing, University of Wyoming, Laramie (Dr Fischer); Banner Health, Phoenix, Arizona (Dr Fischer and Ms Horak); and Arizona State University, Banner—University Medical Center Phoenix (Dr Kelly).

Correspondence: Shelly A. Fischer, PhD, RN, NEA-BC, FACHE, Fay W. Whitney School of Nursing, University of Wyoming, Banner Health, 1000 E. University Ave Dept 3065, Laramie, WY 82071 (

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: October 27, 2017

Published ahead of print: December 18, 2017

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