الفهرس 
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Abstract
Nurses are increasingly regarded as key decision makers within the healthcare team. Active staff nurses’ participation in decisions about work schedules, standards of practice, and evaluation processes is an essential part of shared governance and is a tool for their motivation and empowerment. Hence, they should be more involved in decisions that have an impact on patient care and working conditions. However, nurses’ decisional involvement in administrative matters like staffing and staff mix is still scarce and this has a negative effect on their clinical practice.
This study was aimed at identifying factors affecting decisional involvement among staff nurses. It was conducted in Mobarrat El-Mahalla Hospital, affiliated to the General Authority for Health Insurance using a cross-sectional analytic design. It included 150 staff nurses working in the setting. A self-administered questionnaire with a tool assessing decisional involvement scale and a tool for decisional involvement factors questionnaire was used in data collection. It was pilot tested. The fieldwork was from September to November 2021.
The main study findings were as following:
• Staff nurses’ age ranged between 24 and 50 years, median 33.0 years, 76.0% females, and 80.0% with bachelor’s degree; median experience was 12.1 years.
• In total, 94.0% of staff nurses viewed actual decision- making ”group that make decisions” to be done by the administration, while only 2.7% were by nurses.
• Overall, 53.3% of staff nurses viewed that decision-making should be ”group that you believe should make decisions” led by the administration, 6.0% viewed that it should be led by nurses.
• Almost all staff nurses (92.0%) viewed that decision- making should tend more towards sharing and nurse-led rather than administration.
• Both types of organizational factors affecting decisional involvement were highly agreed upon by staff nurses: rules and regulations (84.0%) and administration (77.3%).
• Overall, 80.0% of staff nurses had high agreement upon the organizational factors affecting decisional involvement, compared with only 36.7% agreeing about personal factors.
• In sum, 69.3% of staff nurses had high agreement upon total factors.
• Significantly more staff nurses 35+ years old, with 10+ years of experience, having bachelor’s degree, and working as specialists had high agreement upon job feeling factors affecting decisional involvement.
• The percentage of staff nurses having high agreement upon organizational factors affecting decisional involvement was significantly higher among those 35+ years old.
• The percentages of staff nurses having low views of supervisor competency and total job feeling factors affecting decisional involvement were significantly higher among those viewing decision-making is supposed to be led by administration.
• The staff nurses having high agreement upon systematicity, and total factors were significantly more among those viewing decision-making more towards actual.
• The percentages of staff nurses having high agreement upon interpersonal relations were significantly higher among those viewing decision making is more towards actual.
• All staff nurses viewing decision-making more towards actual had low agreement upon supervisor competency.
• A moderate positive correlation was revealed between staff nurses’ scores of individual disposition and competence (r=0.556).
• Job feeling had negative correlations with the scores of individual disposition and competence, and a positive weak correlation with the organizational factors (r=0.326).
• Staff nurses’ job feeling scores had weak negative correlations with their scores of views of actual decision Making ”group that make decisions” (r=-0.202), and the difference between actual ”group that make decisions” and supposed to be” group that you believe should make decisions” (r=-0.260).
• A weak positive correlation was shown between staff nurses’ scores of views of organizational factors and their qualification.
• In multivariate analysis:
o The score of job feeling factor was the only significant negative predictor of staff nurses’ score of view of actual decision-making ”group that make decisions”.
o The score of individual competence factor was the only positive predictor of staff nurses’ score of view of decisional involvement as supposed to be.
o Female gender was a negative predictor of staff nurses’ score of organizational factors, while having postgraduate studies was a positive predictor.
o Staff nurses’ female gender was a negative predictor of the score of agreement upon total factors affecting decisional involvement, whereas having postgraduate studies was a positive predictor.