Nurse Managers’ Involvement in Decision-Making and Associated Factors in Selected Government Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study

Abstract

Introduction In the healthcare system, nurse managers’ participation in decision-making was invaluable in preserving cost-effective service and safe patient care. Despite the fact that nurse managers have the power to ensure optimal health care service, their involvement in decision-making has not been well studied. Objectives To assess nurse managers’ decision-making involvement and associated factors working in selected governmental hospitals in Addis Ababa, Ethiopia 2021. Methods A cross-sectional study was conducted among 176 nurse managers from government hospitals in Addis Ababa, with a response rate of 168 (95.5%). The total sample size is assigned in proportion. The technique of systematic random sampling was used. A structured, self-administered questionnaire was used to collect data, which was then checked, cleaned, entered into EPI Info version 7.2, and exported to SPSS software version 25 for analysis. In a binary logistic regression model analysis, a p-value < .25 was used as the cut-off point to consider variables as candidates for multivariable analysis. A p-value of .05 was used to determine the predictor variables with a 95% confidence interval. Result The mean age and standard deviation of the 168 respondents were 34.9 ± 4.1 years. More than half, 97 (57.7%), were excluded from general decision-making. Nurse managers in matron positions were 10 times more likely to participate in decision-making than head nurses (AOR = 10.00, 95% CI: 1.14–87.72, p = .038). Nurse managers who received managerial support were five times more likely to participate in good decision-making than nurse managers who did not receive managerial support (AOR = 5.29, 95% CI: 1.208–23.158, p = .027). Nurse managers who received feedback on their decision-making involvement had 7.7 times more good decision-making involvement than those who did not (AOR = 7.70, 95% CI: 2.482–23.911, p = .000). Conclusion According to the findings of the study, the majority of nurse managers were not involved in decision-making.

The Efficacy of Evidence-Based Practice Training in Enhancing Decision-Making Competency Utilizing Fishbone Diagrams Among Nurse Managers at Hospital B Bandung

“…Based on statistical analysis, it was determined that no factor had a substantial impact on changes in decision-making competence, as indicated by the fishbone diagram. The research findings of (Tazebew et al, 2023) indicate no correlation between the sociodemographic features of participants, such as job experience, education level, and age, and the level of involvement of nurse managers in decision-making. This disparity may be attributed to variations in health policies, diverse nurse manager activities, and professional ideals.…”

“…These variables may include participant motivation, organizational support, predisposition to change, time and active participation, utilization of training materials, availability of additional resources, and team involvement. Based on evidence-based practice, the fishbone diagram can be utilized for this purpose (Tazebew et al, 2023). Management support, support structures, organizational and professional ideals, and disparities in health policies and hospital settings all impact decision-making skills.…”

Facilitating Utilization of Evidence-Informed Management by Nurse Managers in Healthcare Facilities: An Integrative Literature Review

“…Nonetheless, the involvement and input of nurse managers are imperative in facilitating their ability to efectively leverage the utilization of evidence-informed management. Empowering nurse managers with decision-making authority and incorporating their perspectives can contribute signifcantly to the successful integration of evidence-based approaches within health systems [50]. Tus, while nurse managers may not directly infuence the strengthening of health systems, their engagement is essential for promoting the utilization of evidence-informed management.…”