Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

First Advisor

Louette R. Lutjens

Second Advisor

Patricia Underwood

Third Advisor

Eleanor French


Nurse administrators may participate in predicting organizational trends and planning at various organizational levels, however, the degree of actual participation of the nurse administrator in hospital decision-making is a relatively new area of investigation. A descriptive cross-sectional research design was used to investigate the differences between nurse administrators' actual and preferred participation in hospital decision-making. A stratified random sample of 60 nurse executives and 60 nurse managers was selected from the Michigan Organization of Nurse Executives' membership list. The overall response rate was 67% (N = 81). Data were obtained from individual nurses by questionnaires. The responses from the nurse administrators indicated that they desired greater participation and that their expectations for participation in hospital decision-making are not being met. Significant differences were found between nurse administrators' actual and preferred participation in hospital decision-making (t = 10.50, p {dollar}<{dollar}.01). Preferred participation in hospital decision-making was positively associated with perceived actual participation (r =.73). As might be expected nurse executives had significantly greater participation in hospital decision-making than did nurse managers (t = 10.18, p {dollar}<{dollar}.01).


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