Participation in decision making as a property of complex adaptive systems: developing and testing a measure

Nursing Research and Practice
Ruth A AndersonReuben R McDaniel

Abstract

Objectives. To (1) describe participation in decision-making as a systems-level property of complex adaptive systems and (2) present empirical evidence of reliability and validity of a corresponding measure. Method. Study 1 was a mail survey of a single respondent (administrators or directors of nursing) in each of 197 nursing homes. Study 2 was a field study using random, proportionally stratified sampling procedure that included 195 organizations with 3,968 respondents. Analysis. In Study 1, we analyzed the data to reduce the number of scale items and establish initial reliability and validity. In Study 2, we strengthened the psychometric test using a large sample. Results. Results demonstrated validity and reliability of the participation in decision-making instrument (PDMI) while measuring participation of workers in two distinct job categories (RNs and CNAs). We established reliability at the organizational level aggregated items scores. We established validity of the multidimensional properties using convergent and discriminant validity and confirmatory factor analysis. Conclusions. Participation in decision making, when modeled as a systems-level property of organization, has multiple dimensions and is more complex than ...Continue Reading

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Citations

Feb 9, 2017·International Journal of Nursing Practice·Ippolito NotarnicolaLoreto Lancia
Jun 30, 2018·The Journal of Nursing Education·Deborah KramerMirian Zavala
Apr 14, 2020·Journal of Advanced Nursing·Annakarin OlssonMartin Salzmann-Erikson
Aug 11, 2015·Health Care Management Review·Selina H McKinneyNicholas G Castle
Jun 13, 2020·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Stephanie A ChamberlainCarole A Estabrooks
Jul 1, 2021·Journal of Gerontological Nursing·Kimberly R PowellGregory L Alexander

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