Benefits and outcomes of staff nurses' participation in decision making.
OBJECTIVE
To investigate the relations among staff nurses' participation in phases of the decision-making process related to decisions in nursing practice, competencies of nurse manager leadership, and nurse-physician collaboration.


METHODS
This study is a secondary analysis of the Variations in Nursing Practice Model study. The data were derived from the responses of staff nurses to a questionnaire asking about their participation in decision making, their perception of the competency of nurse manager leadership, and their collaboration with physicians.


RESULTS
Nurse-physician collaboration contributed to greater participation in all phases of both caregiving and condition-of-work decisions. The competency of nurse manager leadership had a small but significant positive correlation with participation in decision making, but it did not have a significant effect on phases of participation in both types of decisions.


CONCLUSIONS
The study findings provide evidence to support the relations among an organizational structure, an organizational process, and a provider process of healthcare. Further research is needed to clarify the relation among structure, process, and specific outcomes.
Krairiksh
M
M
Faculty of Nursing, KhonKaen University, KhonKaen, Thailand.
Anthony
M K
MK
D000328:Adult; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D006801:Humans; D007857:Leadership; D008875:Middle Aged; D009718:Nurse Administrators / Q000592:standards*; D015401:Nursing Administration Research; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D010043:Outcome and Process Assessment, Health Care; D005791:Patient Care; D010559:Personnel Management; D019555:Physician-Nurse Relations; D011361:Professional Competence; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014481:United States