2.50
Hdl Handle:
http://hdl.handle.net/10755/157357
Type:
Presentation
Title:
NURSE MANAGER COGNITIVE DECISION-MAKING
Abstract:
NURSE MANAGER COGNITIVE DECISION-MAKING
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Shirey, Maria R., PhD, MBA, RN, NEA-BC, FACHE
P.I. Institution Name:University of Southern Indiana College of Nursing and Health Professions
Title:Associate Professor
Contact Address:8600 University Boulevard, Room HP 2044, Evansville, IN, 47725, USA
PURPOSES/AIMS:
The purpose of this study was to provide a qualitative description of nurse manager cognitive decision-making using a stress, coping, and complexity lens.
RATIONALE/CONCEPTUAL BASIS/BACKGROUND:
Patient safety research has established a link between healthcare work environment complexity and the cognitive work of staff nurses. Although nurse managers play a pivotal role creating the work environment for staff nurses and for patient care quality and safety, research to date has not explored nurse manager cognitive decision-making.
METHODS:
This qualitative descriptive study used a sample of 21 nurse managers from three acute care hospitals to answer the research question: What decision-making processes do nurse managers utilize to address stressful situations in their nurse manager role? Face-to-face interviews incorporating components of the Critical Decision Method were used to generate a cognitive task analysis that illuminated expert-novice practice differences. Content analysis identified one major theme and two sub-themes amenable to intervention.
RESULTS:
This study produced a cognitive model that guides nurse manager decision-making related to stressful situations. Experience in the role, organizational context, and situation factors influenced nurse manager cognitive decision-making.
IMPLICATIONS:
Findings from this study suggest two major conclusions and implications. First, chronic exposure to stress and work complexity has potential long-term health effects that may negatively affect nurse manager decision-making and patient care quality and safety. Empowering organizational cultures and supportive work environments are crucial to facilitate nurse manager peak performance and maintain nurse manager health. Second, cognitive decision-making differences based on nurse manager experience present coaching, mentoring, and succession planning implications. Because expert nurse managers possess a wealth of knowledge that must be captured, organizations even in times of economic constraints must support novice nurse manager mentorship programs. These mentorship programs are often an afterthought, however, they serve a crucial function that facilitates knowledge transfer, expedites role proficiency, and enhances nurse manager decision-making quality.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNURSE MANAGER COGNITIVE DECISION-MAKINGen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157357-
dc.description.abstract<table><tr><td colspan="2" class="item-title">NURSE MANAGER COGNITIVE DECISION-MAKING</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Shirey, Maria R., PhD, MBA, RN, NEA-BC, FACHE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Southern Indiana College of Nursing and Health Professions</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">8600 University Boulevard, Room HP 2044, Evansville, IN, 47725, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mrshirey@usi.edu</td></tr><tr><td colspan="2" class="item-abstract">PURPOSES/AIMS: <br/>The purpose of this study was to provide a qualitative description of nurse manager cognitive decision-making using a stress, coping, and complexity lens. <br/>RATIONALE/CONCEPTUAL BASIS/BACKGROUND: <br/>Patient safety research has established a link between healthcare work environment complexity and the cognitive work of staff nurses. Although nurse managers play a pivotal role creating the work environment for staff nurses and for patient care quality and safety, research to date has not explored nurse manager cognitive decision-making. <br/>METHODS: <br/>This qualitative descriptive study used a sample of 21 nurse managers from three acute care hospitals to answer the research question: What decision-making processes do nurse managers utilize to address stressful situations in their nurse manager role? Face-to-face interviews incorporating components of the Critical Decision Method were used to generate a cognitive task analysis that illuminated expert-novice practice differences. Content analysis identified one major theme and two sub-themes amenable to intervention. <br/>RESULTS: <br/>This study produced a cognitive model that guides nurse manager decision-making related to stressful situations. Experience in the role, organizational context, and situation factors influenced nurse manager cognitive decision-making.<br/>IMPLICATIONS: <br/>Findings from this study suggest two major conclusions and implications. First, chronic exposure to stress and work complexity has potential long-term health effects that may negatively affect nurse manager decision-making and patient care quality and safety. Empowering organizational cultures and supportive work environments are crucial to facilitate nurse manager peak performance and maintain nurse manager health. Second, cognitive decision-making differences based on nurse manager experience present coaching, mentoring, and succession planning implications. Because expert nurse managers possess a wealth of knowledge that must be captured, organizations even in times of economic constraints must support novice nurse manager mentorship programs. These mentorship programs are often an afterthought, however, they serve a crucial function that facilitates knowledge transfer, expedites role proficiency, and enhances nurse manager decision-making quality. <br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:48:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:48:00Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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