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Critical elements in the process of decision making: a nursing perspective.

S Boblin-Cummings1, A Baumann, R Deber

  • 1McMaster University, Faculty of Health Sciences, School of Nursing, Hamilton, Ontario.

Canadian Journal of Nursing Leadership
|November 22, 2000
PubMed
Summary

This study reveals complex decision-making processes in nursing, occurring after intervention selection but before implementation. Understanding these critical cognitive elements enhances nursing competency and cost-effective healthcare delivery.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Cognitive Science

Background:

  • Decision-making is crucial for quality healthcare delivery and cost-effectiveness.
  • Existing frameworks inadequately describe the cognitive aspects of nursing decision-making.
  • Understanding nursing decision-making is essential for organizational efficiency.

Purpose of the Study:

  • To identify critical elements of nursing decision-making not adequately addressed in current frameworks.
  • To explore the complex cognitive processes involved in nursing practice.
  • To provide a deeper understanding of the decision-making component of nursing work.

Main Methods:

  • Exploratory qualitative research design.
  • Nursing personnel described their work experiences.

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  • Qualitative content analysis was used to categorize decision-making components.

    • Main Results:

    • Complex nursing decisions occur between intervention selection and implementation.
    • Identified decisions involve role enactment, leadership skills (collaboration, negotiation, delegation), resource allocation, priority setting, and strategizing.
    • These decisions highlight the intricate interactions and leadership required in nursing.

    Conclusions:

    • Findings have implications for enhancing nursing competency and quality of care.
    • Improved understanding of nursing decision-making can lead to cost-effective healthcare.
    • Nursing education should incorporate these complex decision-making elements.