Preferences for Decision-Making Autonomy

Authors

  • Mary A. Blegen,

    1. Mary A. Blegen, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Colleen Coode, RN, MS, Gamma, is Associate Director of Nursing at the University of Iowa Hospitals and Clinics/ Interim Director of Nursing, Iowa City, Iowa. Marion Johnson, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Meridean Maas, RN, PhD, FAAN, Gamma, is Associate Professor of Nursing, University of Iowa College of Nursing. Lily Chen, RN, MA, Gamma, is staff nurse at the University of Iowa Hospitals and Clinics, Iowa City, Iowa. Sue Moorhead, RN, PhD, Gamma, is a recent graduate of the doctoral program at the University of Iowa College of Nursing. The authors wish to acknowledge the valuable assistance of the following research team members: Joanne McCloskey, Judy Anderson-Bruner, Lisa Finn, Vicki lbarra and Carol Winter. This study was supported in part by a grant from the Office for Nursing Research Development and Utilization, University of Iowa. Correspondence to Dr. Blegen at University of Iowa, 336 Nursing Building, Iowa City, IA 52242.
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  • Colleen Goode,

    1. Mary A. Blegen, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Colleen Coode, RN, MS, Gamma, is Associate Director of Nursing at the University of Iowa Hospitals and Clinics/ Interim Director of Nursing, Iowa City, Iowa. Marion Johnson, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Meridean Maas, RN, PhD, FAAN, Gamma, is Associate Professor of Nursing, University of Iowa College of Nursing. Lily Chen, RN, MA, Gamma, is staff nurse at the University of Iowa Hospitals and Clinics, Iowa City, Iowa. Sue Moorhead, RN, PhD, Gamma, is a recent graduate of the doctoral program at the University of Iowa College of Nursing. The authors wish to acknowledge the valuable assistance of the following research team members: Joanne McCloskey, Judy Anderson-Bruner, Lisa Finn, Vicki lbarra and Carol Winter. This study was supported in part by a grant from the Office for Nursing Research Development and Utilization, University of Iowa. Correspondence to Dr. Blegen at University of Iowa, 336 Nursing Building, Iowa City, IA 52242.
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  • Marion Johnson,

    1. Mary A. Blegen, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Colleen Coode, RN, MS, Gamma, is Associate Director of Nursing at the University of Iowa Hospitals and Clinics/ Interim Director of Nursing, Iowa City, Iowa. Marion Johnson, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Meridean Maas, RN, PhD, FAAN, Gamma, is Associate Professor of Nursing, University of Iowa College of Nursing. Lily Chen, RN, MA, Gamma, is staff nurse at the University of Iowa Hospitals and Clinics, Iowa City, Iowa. Sue Moorhead, RN, PhD, Gamma, is a recent graduate of the doctoral program at the University of Iowa College of Nursing. The authors wish to acknowledge the valuable assistance of the following research team members: Joanne McCloskey, Judy Anderson-Bruner, Lisa Finn, Vicki lbarra and Carol Winter. This study was supported in part by a grant from the Office for Nursing Research Development and Utilization, University of Iowa. Correspondence to Dr. Blegen at University of Iowa, 336 Nursing Building, Iowa City, IA 52242.
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  • Meridean Maas,

    1. Mary A. Blegen, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Colleen Coode, RN, MS, Gamma, is Associate Director of Nursing at the University of Iowa Hospitals and Clinics/ Interim Director of Nursing, Iowa City, Iowa. Marion Johnson, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Meridean Maas, RN, PhD, FAAN, Gamma, is Associate Professor of Nursing, University of Iowa College of Nursing. Lily Chen, RN, MA, Gamma, is staff nurse at the University of Iowa Hospitals and Clinics, Iowa City, Iowa. Sue Moorhead, RN, PhD, Gamma, is a recent graduate of the doctoral program at the University of Iowa College of Nursing. The authors wish to acknowledge the valuable assistance of the following research team members: Joanne McCloskey, Judy Anderson-Bruner, Lisa Finn, Vicki lbarra and Carol Winter. This study was supported in part by a grant from the Office for Nursing Research Development and Utilization, University of Iowa. Correspondence to Dr. Blegen at University of Iowa, 336 Nursing Building, Iowa City, IA 52242.
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  • Lily Chen,

    1. Mary A. Blegen, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Colleen Coode, RN, MS, Gamma, is Associate Director of Nursing at the University of Iowa Hospitals and Clinics/ Interim Director of Nursing, Iowa City, Iowa. Marion Johnson, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Meridean Maas, RN, PhD, FAAN, Gamma, is Associate Professor of Nursing, University of Iowa College of Nursing. Lily Chen, RN, MA, Gamma, is staff nurse at the University of Iowa Hospitals and Clinics, Iowa City, Iowa. Sue Moorhead, RN, PhD, Gamma, is a recent graduate of the doctoral program at the University of Iowa College of Nursing. The authors wish to acknowledge the valuable assistance of the following research team members: Joanne McCloskey, Judy Anderson-Bruner, Lisa Finn, Vicki lbarra and Carol Winter. This study was supported in part by a grant from the Office for Nursing Research Development and Utilization, University of Iowa. Correspondence to Dr. Blegen at University of Iowa, 336 Nursing Building, Iowa City, IA 52242.
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  • Sue Moorhead

    1. Mary A. Blegen, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Colleen Coode, RN, MS, Gamma, is Associate Director of Nursing at the University of Iowa Hospitals and Clinics/ Interim Director of Nursing, Iowa City, Iowa. Marion Johnson, RN, PhD, Gamma, is Associate Professor, University of Iowa College of Nursing. Meridean Maas, RN, PhD, FAAN, Gamma, is Associate Professor of Nursing, University of Iowa College of Nursing. Lily Chen, RN, MA, Gamma, is staff nurse at the University of Iowa Hospitals and Clinics, Iowa City, Iowa. Sue Moorhead, RN, PhD, Gamma, is a recent graduate of the doctoral program at the University of Iowa College of Nursing. The authors wish to acknowledge the valuable assistance of the following research team members: Joanne McCloskey, Judy Anderson-Bruner, Lisa Finn, Vicki lbarra and Carol Winter. This study was supported in part by a grant from the Office for Nursing Research Development and Utilization, University of Iowa. Correspondence to Dr. Blegen at University of Iowa, 336 Nursing Building, Iowa City, IA 52242.
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Abstract

Nurses' lack of autonomy has been identified as a leading cause of job dissatisfaction, but attempts to increase satisfaction by increasing autonomy have not always been successful. This survey of 356 randomly selected staff nurses and 130 head nurses from 16 hospitals extends previous work by identifying the preferred level of involvement in 21 patient care and 21 unit operation decisions. Staff nurses agreed on 60 percent of the decisions and, in general, preferred independent decision-making for patient care decisions and shared decision-making for unit operations. Head nurses indicated that staff nurses should have a higher level of autonomy than the staff nurses indicated for themselves.

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