Influencing factors in the nurses’ decision-making process in Ibero- American university hospitals
DOI:
https://doi.org/10.1590/1518-8345.5648.3563Keywords:
Health Services Administration; Nursing; Management Service Organizations; Decision Making; Leadership; Professional Autonomy.Abstract
Objective: to analyze the factors that influence nurses’ decisionmaking
process in Ibero-American university hospitals. Method:
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. Results: 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. Conclusion: 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.
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