Influencing factors in the nurses' decision-making process in Ibero-American university hospitals

to analyze the factors that influence nurses' decision-making process in Ibero-American university hospitals. a case study with a qualitative approach and of the multicenter type, carried out with 30 Ibero-American nurses. The data were collected through semi-structured interviews, analyzed by...

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Bibliographic Details
Published in:Revista latino-americana de enfermagem 2022, Vol.30, p.e3563
Main Authors: Silva, Gilberto Tadeu Reis da, Santos, Ises Adriana Reis Dos, Conceição, Marimeire Morais da, Góis, Rebecca Maria Oliveira de, Santos, Alexandre Silva, Amestoy, Simone Coelho, Evangelista, Renata Alessandra, Cantarino, Maria Sagrario Gomez, Bueno, Alexandre de Assis, Queiros, Paulo Joaquim Pina
Format: Article
Language:eng ; por ; spa
Subjects:
Decision Making
Hospitals, University
Humans
Nurses
Qualitative Research
United States
Online Access:Get full text
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Summary:to analyze the factors that influence nurses' decision-making process in Ibero-American university hospitals. a case study with a qualitative approach and of the multicenter type, carried out with 30 Ibero-American nurses. The data were collected through semi-structured interviews, analyzed by thematic categories and interpreted according to the theoretical framework of Creating Effective Organizations. it was identified that the decision-making process permeates the development of nurses' own competencies, suffering influences from health management training and previous individual experiences. The following categories emerged: Technical-scientific preparation in decision-making; Hierarchization of the decision-making process; and Autonomous professional practice. the absence/presence of a rigid hierarchy, as well as technical-scientific preparation and autonomy, are factors that limit or expand the range of possibilities in nurses' decision-making, with consequences in care management. Thus, discussions about this theme should be encouraged, in order to promote nurses' autonomy for decision-making and favor a reduction of bureaucracy in the processes that prevent/hinder advances in these services.
ISSN:1518-8345
1518-8345
DOI:10.1590/1518-8345.5648.3563