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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
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.
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.
- 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.