Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada.
J Nurs Manag. 2010 Mar;18(2):122-33. doi: 10.1111/j.1365-2834.2010.01053.x.
The aim of the present study was to describe the scope and degree of involvement of senior nurse leaders (SNLs) in executive level decisions in acute care organizations across Canada.
Significant changes in SNL roles including expansion of decision-making responsibilities have occurred but little is known about the patterns of SNL decision-making.
Data were collected by mailed survey from 63 SNLs and 49 chief executive officers (CEOs) in 66 healthcare organizations in 10 Canadian provinces. Regression analyses were used to examine whether timing, breadth of content expertise and the number of decision activities predicted SNL decision-making influence and quality of decisions.
Breadth of content expertise and number of decision activities with which the SNL was involved were significant predictors of decision influence explaining 22% of the variance in influence. Overall, CEOs rated SNL involvement in decision-making higher than the SNL.
Senior nurse leaders contribute to organizational processes in healthcare organizations that are important for nurses and patients, through their participation in decision-making at the senior team level.
Findings may be useful to current and future SNLs learning to shape the nature and content of information shared with CEOs particularly in the area of professional practice issues.
本研究旨在描述加拿大各地急症护理组织中高级护理领导人（SNL）参与执行级别决策的范围和程度。
SNL 的角色发生了重大变化，包括决策职责的扩大，但对 SNL 决策模式知之甚少。
通过邮寄调查，从加拿大 10 个省的 66 家医疗机构的 63 名 SNL 和 49 名首席执行官（CEO）收集数据。回归分析用于检验 SNL 决策的时间、内容专业知识的广度以及参与的决策活动数量是否预测了 SNL 的决策影响力和决策质量。
内容专业知识的广度和 SNL 参与的决策活动数量是决策影响力的显著预测因素，解释了影响力差异的 22%。总体而言，首席执行官对 SNL 参与决策的评价高于 SNL。
高级护理领导人通过参与高级团队层面的决策，为护理组织中的组织流程做出贡献，这对护士和患者都很重要。
这些发现对于正在学习如何塑造与首席执行官分享的信息的性质和内容的现任和未来的 SNL 可能有用，特别是在专业实践问题领域。
