Nurse Managers’ Involvement in Decision-Making and Associated Factors in Selected Government Hospitals, Addis Ababa, Ethiopia, 2021.
No Thumbnail Available
Date
2021-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
In the healthcare system Nurse managers' involvement in decision-making had boundless value to preserve cost-effective service and safe patient care. The nurse manager is driving power to ensure optimal health care service, despite this Nurse managers' decision-making involvement and associated factors were not well studied. This study aims to assess Nurse managers' decision-making involvement and associated factors in selected government
hospitals in Addis Ababa, Ethiopia, 2021. Institutional based cross-sectional study was conducted among 176 Nurse managers in Addis Ababa selected government hospitals with a response rate of 168 (95.5%). The total sample size is allocated proportionally. A systematic random sampling technique was used. Data collection was done by using a structured self-administered questionnaire and checked, cleaned, entered into EP info version 7.2, and exported to SPSS software version 25 for analysis. Binary logistic regression model using bivariable and multivariable analysis method and P< 0.25 was the cut-off point to consider variables into multivariable from bivariable. A P-value of < 0.05 was used to determine the predictor variables between variables with a CI of 95%.Majority, 97(57.7%) were not involved in general decision-making. Those Nurse managerswho work in matron positions had 10 times good decision-making involvement than those Nurse managers who work as a head nurse: (AOR = 10.00, 95% CI: 1.14-87.72, P= 0.038).
Those Nurse managers who had managerial support had 5 times good decision-making involvement than those Nurse managers who lack managerial support: (AOR=5.29, 95% CI: 1.208-23.158, P=0.027). Those Nurse managers who had got feedback for their decision-making involvement had 7.7 times good decision-making involvement than those Nurse managers who lack feedback: (AOR= 7.70, 95% CI: 2.482-23.911, P= 0.000).
The study result showed that majority of Nurse managers had poor involvement in decision-making. MOH, AAHB, and administrators of the hospitals may be needed to improve the decision-making involvement of Nurse managers by providing feedback for their decision-making involvement and supporting them.
Description
Keywords
Nurse managers, involvement in decision-making, decision-making.