No abstract

No abstract

A qualitative analysis of the satisfaction of nurses with clinical decision making, the nature of the decision making, nurses' involvement in the process and factors that injuence decision-making behavior is presented. The data were obtainedfrom interviews conducted with physicians and nurses as a part of a study of nurse turnover and vacanGy in hospitals. Staff nurse involvement in decision making is described as being interdependent; nurses reported general satisfaction with their involvement, while physicians generally resisted the decision-making discretion of nurses. Nurses on specialized and critical care units were more satisjed than were nurses who worked on general medicalsurgical units. Trust and control were central issues. Implications for considering what knowledge, skill and decisional authority are needed for patient care are discussed.

No abstract

No abstract