Influencing factors in the nurses' decision-making process in Ibero-American university hospitals.

Autor:	Silva GTRD; Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brasil.; Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil., Santos IARD; Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brasil.; Bolsista da Fundação de Amparo à Pesquisa da Bahia (FAPESB), Brasil., Conceição MMD; Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brasil., Góis RMO; Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brasil., Santos AS; Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brasil., Amestoy SC; Universidade Federal de Pelotas, Escola de Enfermagem, Pelotas, RS, Brasil., Evangelista RA; Universidade Federal de Catalão, Departamento de Enfermagem, Catalão, GO, Brasil., Cantarino MSG; Universidad de Castilla-La Mancha, Escuela de Enfermería y Fisioterapia, Toledo, Castilla-La Mancha, Espanha., Bueno AA; Universidade Federal de Catalão, Departamento de Enfermagem, Catalão, GO, Brasil., Queiros PJP; Escola Superior de Enfermagem de Coimbra, Unidade de Investigação em Ciências da Saúde, Coimbra, Coimbra, Portugal.
Jazyk:	Portuguese; English; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2022; Vol. 30, pp. e3563.
DOI:	10.1590/1518-8345.5648.3563
Abstrakt:	Objective: to analyze the factors that influence nurses' decision-making 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.
Databáze:	MEDLINE
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