This research lunched to determine to what extent decentralization influences nurses
autonomy, job satisfaction, and organizational commitment. There are studies which show that
decentralization decision making increases productivity, improves moral, increases favorable
attitudes, and decrease absenteeism. Decentralization of decision making is often facilitated by
participative management strategies whereby individuals thought the organization are given more
information, knowledge, and power. This research was conducted in inpatients units Assuit
University Hospitals and number of head nurses participated in the study. Data were collected
through a questionnaire form including three different tools. The results of the present study
revealed that the mean score of head nurses organizational commitment and job satisfaction was
and low as regarding to decentralization. There was a direct effect of decentralization on
organizational commitment. Decentralization was the only significant predictor of autonomy.
Managers should diagnose the organizational situation and select the decision making level that
will best meet the organization needs. When determining the optimal degree of decentralization
organization, top management needs positive attitudes toward decentralization, they need
competent personnel to whom they delegate authority and access information necessary for
decision making.