(2009) quantitative nurses perceived that study they had low levels of actual decisional involvement and that there was a statistically significant difference between the actual and preferred level of decisional involvement of the nurses. Scherb et al. (2010), identified that the using a descriptive level of actual correlational design decisional involvement for nurses was low and their level of preferred decisional involvement remained low, not reaching the level of the mid-range score of shared decision making. Al-Dweik, et al., identified that the 2015 nurses perceived quantitative themselves to have descriptive study only somewhat actual conducted in Iran decisional involvement but to have high levels of preferred involvement Wong, et al. (2010) showed that senior nurse leaders in Canada are able to influence decisions throughout the organization.