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Nurse managers' decisions: fast and favoring remediation
Judith A Effken1, Joyce A Verran, Melanie D Logue
1The University of Arizona College of Nursing, Tucson, AZ 85721-0203, USA. jeffken@nursing.arizona.edu
Abstract:
How do nurse managers make decisions about quality issues on their units? We asked 10 nurse managers in 3 Arizona hospitals to describe how they resolved a recent quality issue. The managers tended to use a linear, but cognitively expensive strategy, often jumping from problem to solution without a clear goal and selecting solutions biased toward remedial education. Decision support tools should help managers think more systemically and efficiently, while encouraging consideration of more alternatives to reach targeted goals.
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