Abeje Wubete, Tegegne Belachew, Tefera Zenebe, Zenebe Yosef, Yimam Wondwossen, Desu Birhanu, Andargie Yismaw, Amare Muluken, Kassa Molla, W/Selassie Mulugeta
Department of Adult Health Nursing, Wollo University, Kelem-Meda, Ethiopia.
Department of Nursing, Injibara University, Koso-Ber, Ethiopia.
Front Health Serv. 2025 Jan 15;4:1475402. doi: 10.3389/frhs.2024.1475402. eCollection 2024.
Effective nursing management and leadership are essential for the provision of desired patient care that will contribute to the improvement of any country's health indicators. However, nurses' views and experiences on the multitude of personal and organizational factors which may impact their decision-making abilities are often neglected in the literature. The study aimed to assess magnitude of poor decision making and its associated factors among nurse managers in South Wollo Zone Governmental Hospitals, Amhara Regional State, Ethiopia, 2023.
Non experimental cross-sectional study was conducted among 168 nurse managers in South Wollo Zone Public Hospitals from April 01 2023 to May 15/2023. Participants were selected by using a simple random sampling technique. The data were collected by using structured questionnaire from the study participants. Data were entered using EPI data version 4.6 and exported to SPSS version 26 for analysis. The bi-variable logistic regression analysis model was used to identify the potential predictor variable, with -value <0.25 was fitted into the multivariable logistic regression analysis model; -value less than 0.05 and an adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to declare, factors associated with the outcome variable. The model fitness was checked by using the Hosmer and Lemeshow test. Data were presented with frequency tables, graphs, and pie charts.
The study found that the overall magnitude of poor decision-making among nurse managers was 35.7%. Being self-confident [AOR = 0.01, 95% CI: (00.002, 0.05)], receiving feedback [AOR = 0.24, 95% CI: 0.08, 0.76], and getting managerial support [AOR = 0.22, 95% CI: (0.06, 0.81)] were negatively associated with poor decision-making among nurse managers.
Self-confidence, receiving feedback, and getting managerial support were variables significantly associated with poor decision-making. Authors strongly emphasize providing managerial support for nurse managers, increasing their habit of receiving feedback from colleagues, and encouraging them to build their self-confidence.
有效的护理管理和领导力对于提供理想的患者护理至关重要，这将有助于改善任何国家的健康指标。然而，护士对于众多可能影响其决策能力的个人和组织因素的看法及经历在文献中常常被忽视。本研究旨在评估2023年埃塞俄比亚阿姆哈拉州南沃洛地区政府医院护士管理者中决策不佳的程度及其相关因素。
2023年4月1日至2023年5月15日，在南沃洛地区公立医院的168名护士管理者中进行了非实验性横断面研究。采用简单随机抽样技术选取参与者。通过使用结构化问卷从研究参与者中收集数据。数据使用EPI数据4.6版本录入，并导出到SPSS 26版本进行分析。采用双变量逻辑回归分析模型识别潜在预测变量，P值<0.25的变量纳入多变量逻辑回归分析模型；P值小于0.05且调整后的优势比（AOR）及95%置信区间（CI）用于确定与结果变量相关的因素。使用Hosmer和Lemeshow检验检查模型拟合度。数据以频率表、图表和饼图呈现。
研究发现，护士管理者中决策不佳的总体比例为35.7%。自信[AOR = 0.01，95% CI：（0.002，0.05）]、接受反馈[AOR = 0.24，95% CI：0.08，0.76]以及获得管理支持[AOR = 0.22，95% CI：（0.06，0.81）]与护士管理者决策不佳呈负相关。
自信、接受反馈和获得管理支持是与决策不佳显著相关的变量。作者强烈强调为护士管理者提供管理支持，增加他们从同事那里接受反馈的习惯，并鼓励他们建立自信。
