The Relationship between Staff Nurses’ Decisional involvement and their Work Engagement

Document Type : Research articles

Authors

1 Nursing Administration, Faculty of Nursing, Damanhour University.

2 Nursing Administration,Faculty of Nursing, Alexandria University

Abstract

Background: Health care system has undergoing fundamental and structural changes all over 
the world due to rapid advancement in medical and nursing technologies, along with change in patients, 
need and financial resources. This has created an environment of uncertainty that require redesigning 
health care structure and process of care. In this concern, nurses play vital role in coping and 
implementing these changes. So, there is a need to change both nurses’ attitudes and behaviors toward 
their decisional involvement and work engagement. Aim: Assess the relationship between nurses' 
decisional involvement and work engagement. Setting: The study was conducted in Hosh Essa Hospital 
with bed capacity 328 beds affiliated to Ministry of Health and Population. Subjects: All staff nurses 
(N=194) who are working in the previously mentioned settings who were available at the time of data 
collection. Tools: Two tools were used in this study. Tool (1): DI Scale: This tool was developed by 
Havens and vasey (2005), to measure actual and preferred decisional involvement of staff nurses and 
managers on nursing units. It consists of six dimensions with 21 items namely: unit staffing, quality of 
professional practice, professional recruitment, unit governance and leadership, quality of support staff 
practice, and collaboration/liaison activities. Tool (2): Utrecht Work Engagement Scale: This tool was 
developed by Schaufeli and Bakker (2008) to measure unique positive fulfilling and work-related state 
of mind. It contains 17 items divided into three dimensions with namely: vigor, and absorption, 
dedication. Results and Conclusion: The result of the present study concluded that positive significant 
correlation between DI and work engagement. Also, this study illustrated that staff nurses perceived 
moderate mean percent score of DI as well as moderate mean percent score of staff nurses work 
engagement. Recommendation: This study suggested an implementation of regular training programs 
to keep nurses up to date regarding decisional involvement to work engagement.

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