College of Science and Health Theses and Dissertations

Date of Award

Spring 6-11-2021

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Joseph Tariman,



Purpose: To examine provider-related factors associated with higher levels of competence in shared decision-making (SDM) in oncology nurses.

Design: This study is a retrospective secondary data analysis of SDM survey data collected from 230 participants (oncology nurses that are active members of the Oncology Nursing Society) during February 2017 to September 2017.

Methods: Data collected from oncology nurses who actively provide direct care to patients from inpatient and outpatient oncology units in the Midwest and Pacific Northwest. Participants completed an online or mail survey on the following: knowledge, attitudes, communication, and adaptability which scores were derived from a 5-point Likert scale. Sociodemographic data were also obtained and analyzed using descriptive statistics. Differences between demographic data and competency scores were tested using t-tests and ANOVA analysis.

Findings: In total, 230 oncology nurses were surveyed. There were statistically significant differences were between nurses aged 20-29 vs. nurses aged 60 and above t(68) = 2.36, p=0.021, a=.05, nurses who have worked 1-5 years vs. nurses who have worked 16-20 years t(42) = 4.08, p=0.000, a=.05., associates-prepared nurses vs. doctoral-prepared nurses t(30) = 4.00, p=0.000, a=.05, and registered nurses vs. nurse practitioners t(203) = 3.99, p=0.000, a=.05. Adaptability was the most common construct to have a statistically significant difference.

Conclusion: Based on the findings of this study, it can be concluded that age and experience, as well as educational level, are important indicators of increased use and competency of SDM. Furthermore, adaptability is the strongest component of successful competency in SDM.

Clinical Relevance: When SDM competencies are fulfilled, communication and satisfaction between providers and patients are consequentially improved. In order for SDM to reach its potential, support from institutions, leadership, and clinical nurses with experience can remove potential barriers.

SLP Collection


Included in

Nursing Commons