Managerial Decision Making Involvement and its Associated Factors Among Nurse Managers in Selected Public Hospitals, Tigray, North Ethiopia, 2015
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Date
2015-06
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Addis Ababa University
Abstract
Background: Nurse Managers are nurses in management level positions in hospitals such as
matron, head nurse as well as coordinators. 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.
Objective: To assess managerial decision making involvement and associated factors by nurse
managers at selected public hospitals, Tigray, north Ethiopia, in 2015.
Methods: Institution based cross sectional study design was used. Sample size was 113 and
selected using simple random sampling technique. Odds Ratio and 95% Confidence interval were
calculated. A binary logistic regression with its statistical significance and multivariate analysis
was employed.
Result: Of the total respondents majority, 71(68.9%) of them didn‘t involve in managerial
decision making. Those nurse mangers who were working in surgical ward 15.74 were more
times likely to be involved in managerial decision making than those working in medical
ward:[AOR =15.74 (95%CI: 1.32-186.99)]. Those nurse mangers who were working in ICU 86.6
times were more likely to be involved in managerial decision making than those working in
medical ward :[AOR =86.6 (95%CI: 2.71 -2764.78)]. Matrons were 18.61 times more likely to be
involved in managerial decision making than head nurse: [AOR= 18.61 (95CI%:1.03-335.41)]
The odds of involvement of decision making among the respondents who had poor knowledge and
skill were 2.56 lower than the odds of the respondents who hadn‘t poor knowledge and skill
towards decision making: [AOR = 0.39( 95% CI (0.14-0.78)]
Conclusion and recommendation
Majority respondents were not involved in managerial decision making. Efforts of MOH, RHB,
and administrators of the hospitals may be needed to improve managerial decision making of
nurse managers and use their power regularly
Key words: nurse manager, decision making, power, public hospital
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Keywords
Nurse manager, Decision making, Power, Public Hospitals