Role of Nursing Managers in Enhancing the Clinical Decision-Making Skills of Critical Care Nurses in Yaoundé-Cameroon: A Qualitative Study
DOI:
https://doi.org/10.47941/ijhmnp.1202Keywords:
Clinical decision-making skills, Critical care nurses, Nurse ManagersAbstract
Purpose: This study aims at exploring the role of nurse managers in decision-making in 4 referral hospitals in Yaoundé-Cameroon.
Methodology: The study used a qualitative exploratory design using semi-structured interview guides as data collection instruments. The study population was made up of 15 nurse managers (frontline, middle-level, and top-level managers) from four referral hospitals in Yaoundé-Cameroon. Data were collected using a semi-structured interview guide from a purposeful sample of nurse managers. The saturation level determined the sample size for the study. Data were analyzed using inductive content analysis.
Findings: There was a diversity in the role of nurse managers in developing the clinical decision-making skills of critical care nurses. Professional recognition, advocacy, and teamwork were the categories generated from the managers' views on nurses’ participation in institutional meetings. Nine managers viewed effective recognition and reward system as the main motivation system for empowering nurses in clinical decision-making. Administrative meetings and rounds, basic materials and skills, interdisciplinary collaboration and standardization of care were the main strategies used by nurse managers to support decision-making in critical care. Subordination of nurses, lack of qualified staff, and infrequent organization of seminars, and meetings involving nurses were the major challenges they faced.
Unique contributions to theory, practice, and policy: Findings from the study proposed that hospital nurse managers should employ various strategies to motivate nurses in decision-making by installing an effective recognition and reward system, involving them in institutional meetings, and creating a collaborative environment that favors nurse’s autonomy in decision-making.
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References
Alshmemri, M., Shahwan-Akl, L., & Maude, P. (2017). Herzberg’s Two-Factor Theory. Life Science Journal, 14(5), 12–16.
Delaney, L. J. (2017). Patient-centred care as an approach to improving health care in Australia. Collegian.
Drucker, J., & Oster, H. (2015). Patient-centred care: improving healthcare outcomes. 30(March), 2015.
Gaughan, A. A., Walker, D. M., DePuccio, M. J., MacEwan, S. R., & McAlearney, A. S. (2021). Rewarding and recognizing frontline staff for success in infection prevention. American Journal of Infection Control, 49(1), 123.
Giroux, C.-R. (1960). The Motivation to work, by F. Herzberg, B. Mausner and B.-C. Snyderman, John Wiley & Sons, New York, John Wiley & Sons, 1959. Relations Industrielles-Industrial Relations, 15(2), 275.
Hasani, F. A. (2020). Herzberg’s theory and job satisfaction of school nurses in bahrain. Life: International Journal of Health and Life-Sciences, 6(1), 01–16.
Keshk, L. I., Ahmed, S., Qalawa, A., & Aly, A. A. (2018a). Clinical Decision-making Experience of the Critical Care Nurses’ and Its Effect on Their Job Satisfaction: Opportunities of Good Performance. American Journal of Nursing Research, Vol. 6, 2018, Pages 147-157, 6(4), 147–157.
Keshk, L. I., Ahmed, S., Qalawa, A., & Aly, A. A. (2018b). Clinical Decision-making Experience of the Critical Care Nurses’ and Its Effect on Their Job Satisfaction: Opportunities of Good Performance. American Journal of Nursing Research, Vol. 6, 2018, Pages 147-157, 6(4), 147–157.
Krairiksh, M., & Anthony, M. K. (2001). Benefits and outcomes of staff nurses’ participation in decision making. Journal of Nursing Administration, 31(1), 16–23.
Maharmeh, M., Alasad, J., Salami, I., Saleh, Z., & Darawad, M. (2016). Clinical Decision-Making among Critical Care Nurses: A Qualitative Study. Health, 08(15), 1807–1819.
Mohamed, N. T. (2018). Relationship between leadership styles and clinical decision-making autonomy among critical care nurses. Egyptian Nursing Journal, 15(2), 102.
PR ACTICE GUIDELINE. (n.d.). Retrieved January 10, 2023, from www.cno.org
Rasooli, A. S., Zamanzadeh, V., Rahmani, A., & Shahbazpoor, M. (2013). Patients’ Point of View about Nurses’ Support of Individualized Nursing Care in Training Hospitals Affiliated with Tabriz University of Medical Sciences. Journal of Caring Sciences, 2(3), 203.
Roghieh Nazari, Z. V. S. M. K. E. H. (2018). The meaning of managerial competency of ICU Head Nurses in Iran: A Phenomenological Study.
Samuel, H., Sehar, S., Afzal, M., & Amir Gilani, S. (2018). Influence of Supportive Leadership on Nursing Clinical Decision making in Critical Care Units at Tertiary Care Hospital Lahore. International Journal of Nursing, 5(2), 2373–7670.
Scholl, I., LaRussa, A., Hahlweg, P., Kobrin, S., & Elwyn, G. (2018). Organizational- and system-level characteristics that influence implementation of shared decision-making and strategies to address them - a scoping review. Implementation Science, 13(1), 1–22.
Serve on a Board to Make an Even Greater Impact as a Nurse. (n.d.). Retrieved August 27, 2022, from https://nursesusa.org/article_serve_on_board_to_make_even_greater_impact_as_nurse.asp
Thompson, J., & Gopal, S. (2006). Nurses, information use, and clinical decision making—the real world potential for evidence-based decisions in nursing. BMC Bioinformatics, 7(1), 145.
Wen, D., Yan, D., & Sun, X. (2022). Employee satisfaction, employee engagement, and turnover intention: The moderating role of position level. Human Systems Management, 41(3), 407–422.
Zamanzadeh, V., Valizadeh, L., & Neshat, H. (2020). Challenges of human resources management in nursing in Iran: A qualitative content analysis. Nursing Open, 7(1), 319.
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