Relationship between Nursing Staff's Decisional Involvement and Their Decision-Making Abilities in Cairo University Hospital

Abstract
Background: Decisional involvement recommends the decentralization of decision-making and the proximity of staff members who provide healthcare, in which workers have their participation ensured and are entitled to take part in discussions concerning the decision-making process. Decisional involve-ment is important in healthcare and initially adopted in for the nursing discipline to achieve excellence in patient care.
Aim of Study: To investigate the relationship between nursing staff's decisional involvement and their decision-making abilities in New Kasr El-Aini Teaching Hospital.
Material and Methods: A descriptive correlational research design was utilized to carry out the study. One hundred and fifteen baccalaureate nurses including one nursing director, three associate directors, thirty-nine supervisors, thirty-six head nurses, twenty-two charge nurses and fourteen staff nurses. Two tools were used to collect data. First tool divide to two parts demographic data and nurse's decision making involvement questionnaire, second tool was nursing staff's decision making abilities questionnaire.
Results: Study findings revealed that there was a statistical significant correlation between study demographic character-istics and decision making abilities. While, there is no statistical significant correlation between study demographic character-istics and decision making involvement. Also, there was no statistical significant correlation between study sample's decision making abilities and their decision making involve-ment.
Conclusion: The study concluded that decisional involve-ment is performed according to the management positions regardless the staff abilities to make a decision.
Recommendations: It is recommended that the organization should provide training courses to improve decision making abilities of nursing staff. Also, nursing director should increase their involvement in decision making process and put an evaluative measure to be used as a standard in choosing managerial and administrative position regarding their abilities and skills regardless their ages.