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ORIGINAL ARTICLE
Year : 2018  |  Volume : 15  |  Issue : 2  |  Page : 102-111

Relationship between leadership styles and clinical decision-making autonomy among critical care nurses


Department of Nursing Administration, Faculty of Nursing, Cairo University, Cairo, Egypt

Correspondence Address:
Nadia T Mohamed
Department of Nursing Administration, Faculty of Nursing, Cairo University, Cairo
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ENJ.ENJ_4_1

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Background Participation of nurses in an organization’s decision making varies depending on many factors, including the influence of nurse managers, head nurses, leadership, and collaboration with physicians. Aim The aim of the present study was to explore the relationship between leadership style and decision-making autonomy among critical care nurses at New Kasr Al-Aini Teaching Hospital. Participants and methods A descriptive exploratory research design was utilized. The study was conducted at New Kasr Al-Aini Teaching Hospital which is affiliated to Cairo University Hospital. The study was done on a convenient sample of 200 staff nurses who are working in critical care units. Data were collected using the Clinical Decision-Making Questionnaire which contains two main parts: the first part was demographic data and the second part was a Clinical Decision-Making questionnaire, adopted from Fareed (2016), and a Leadership Styles Questionnaire, which was designed by the researcher based on an extensive review of the related literature to measure three common styles of leadership. Results There was high agreement on total perception of respondents about clinical decision-making autonomy; the highest mean percentage of respondents’ perception was on arranging patient investigations and supervising junior staff dimensions, followed by providing health education and making decisions to change patient medication dimensions. The least mean percentage was on work environment dimension. Regarding dominant leadership style the majority of staff nurses’ perceive their leader on democratic, followed by authoritarian, and lastly laissez-faire leadership style. Conclusion There was no statistically significant relationship between nurses’ clinical decision-making autonomy and leadership styles. Recommendation Critical care nurses’ managers should foster nurses’ autonomy by enabling them to exercise clinical decision-making autonomy, and by actively supporting nurses’ decisions and accountability.


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