Nurses’ Perception of Organizational Climate and its Relationship with their Involvement in Decision Making and Work Productivity.

Background: Today's healthcare organizational climate become more complex than before due to itsimpact on nurses' productivity as well as their involvement in decision-making (Munyewende et al.,2014).Healthcare members not fully understand organizational climate effect on nurses' involvement in decisionmaking and work productivity. This lack of understanding may cause negative patient outcomes. Aim: Thestudy aims to assess nurses' perception of organizational climate and its relationship with their involvementin decision making and work productivity. Study design: A descriptive correlational study was utilized.Subjects and setting: A sample of 297 nurses were included in this study classified as 195 nurses in surgicalcare units and 102 nurses in medical care units of the Alexandria Main University Hospital. Tools: Three toolswere utilized namely organizational climate measure, decisional involvement scale and healthcareproductivity survey. Results: The study finding highlighted that the majority (88.2%) of studied nursesperceived their organizational climate as good, less than half (43.1%) of the studied subjects had a moderatelevel of decision involvement, there was a high level of work productivity and decision involvement withexcellent organizational climate. Conclusion: The study concluded that there was a statistically significantrelationships between organizational climate and both decision involvement (r=0.130, p=0.025), and healthcare productivity (r=0.345, p=0.000). Recommendations: hospital nursing administrators should conductperiodic meetings with nurses, motivate them through appropriate reward system and encouraging open andtransparent communication to improve climate and nurses' decision-making abilities.