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Developing a decision-making dependency (DMD) model for nurse managers.

Christine Chisengantambu-Winters1, Guy M Robinson2, Nina Evans3

  • 1School of Nursing and Midwifery, Australian Catholic University, North Sydney, New South Wales 2060, Australia.

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Summary

Nurse managers make complex decisions influenced by eight key variables, including situational factors, time, resources, and personal characteristics. Understanding these dependencies aids in navigating their decision-making processes effectively.

Keywords:
Decision makingDependency factorsHealth sciencesHuman resource managementManagementNurse managersNursingSocial sciences

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Nursing Leadership

Background:

  • Decision-making is crucial for managers, yet nurse manager decision-making processes are under-researched.
  • Effective operationalization of healthcare organizations relies heavily on managerial decisions.

Purpose of the Study:

  • To identify decision types made by nurse managers.
  • To explore the decision-making processes employed by nurse managers.
  • To propose a 'dependency model' illustrating factors influencing nurse manager decisions.

Main Methods:

  • Structured interviews with nurse managers in rural and regional South Australian health institutions.
  • Utilized hermeneutic principles and interpretive research.
  • Focused on nurse unit managers, after-hours coordinators, and directors of nursing.

Main Results:

  • Identified eight key interrelated variables influencing nurse manager decisions: situation, time, colleague input, complexity, duration, resources, environment, and personal characteristics.
  • Nurse managers often make pragmatic decisions without a strict step-by-step approach.
  • Developed a dependency model to explain decision-making influences.

Conclusions:

  • Nurse managers' decisions are pragmatic and reflect their complex roles.
  • The proposed dependency model enhances understanding of nurse manager decision-making.
  • The model can support nurse managers in various healthcare settings.