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Characterizing the Decision-Making Competency of Nurse Managers: A Scoping Review.
Alberto Gonzalez-Garcia1, Pilar Marques-Sanchez2, Arrate Pinto-Carral2
1Faculty of Health Sciences, Nursing and Physiotherapy Department, HrQoL Research Group, University of Leon, Castile and León, León 24007, Spain.
Journal of Nursing Management
|June 18, 2025
Summary
This review identifies 15 key characteristics of nurse managers' decision-making competency, highlighting professional values, data management, and risk assessment. Technology aids decision-making, while stress and complexity pose barriers.
Area of Science:
- Nursing Management
- Healthcare Administration
- Organizational Psychology
Background:
- Nurse managers' decision-making is crucial for healthcare system performance.
- The specific characteristics of this competency require thorough examination.
- Rapidly evolving healthcare environments necessitate strong managerial decision-making.
Purpose of the Study:
- To describe the characteristics of nurse managers' decision-making competency.
- To analyze influencing factors (technological, organizational, contextual) on this competency.
- To identify barriers and facilitators impacting its development and application.
Main Methods:
- Scoping review methodology.
- Searched electronic databases: Web of Science, Scopus, CINAHL, PubMed.
- Included studies published between January 2009 and February 2025.
Main Results:
- Fifteen core characteristics of decision-making competency were identified.
- Key characteristics include professional values, ethics, information processing, systems/data management, and risk management.
- Technology facilitates decision-making; high stress and healthcare complexity are primary barriers.
Conclusions:
- Enhancing nurse managers' decision-making requires focus on ethical reasoning, data literacy, systems thinking, and risk evaluation.
- Technological proficiency is vital for improving decision quality.
- Managing organizational stressors is essential for optimal performance.
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