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Decisional Involvement in Magnet®, Magnet-Aspiring, and Non-Magnet Hospitals

Houston, Susan PhD, RN, FAAN, NEA-BC; Leveille, Marygrace PhD, RN, ACNP-BC; Luquire, Rosemary PhD, RN, NEA-BC, FAAN; Fike, Angela MBA, BSN, RN-BC; Ogola, Gerald O. MPH, MS; Chando, Shingisai MA, MPH

Journal of Nursing Administration: December 2012 - Volume 42 - Issue 12 - p 586–591
doi: 10.1097/NNA.0b013e318274b5d5

BACKGROUND: Empowered decision making can help establish innovative work cultures.

Ojective: This study used the Decisional Involvement Scale to determine differences in actual and preferred decisional involvement among staff RNs and administrators in Magnet®, Magnet-aspiring, and non-Magnet hospitals.

Methods: Two facilities were Magnet designated, 3 were Magnet aspiring, and 9 were non-Magnet. A total of 5000 staff RNs and administrators were asked to participate in the nonexperimental descriptive survey.

Resuts: The difference observed in actual global scale score by Magnet status was statistically significant (P = .01). Respondents in Magnet hospitals had the highest actual global scale score on average, followed by Magnet-aspiring, then non-Magnet.

Conclusions: Decisional involvement is higher among Magnet-designated than non-Magnet facilities.

Author Affiliations: Director of Nursing Research (Dr Houston), Nurse Scientist (Dr Leveille), Senior Vice President and Chief Nursing Officer (Dr Luquire), Nurse Educator Specialist (Ms Fike), Biostatistician (Mr Ogola), and Outcomes Data Analyst (Ms Chando), Baylor Health Care System, Dallas, Texas.

The authors declare no conflict of interest.

Correspondence: Dr Houston, Baylor Health Care System, 2001 Bryan St, Sixth Floor, Dallas, TX 75201 (

© 2012 Lippincott Williams & Wilkins, Inc.