scholarly journals Do Personal Differences and Organizational Factors Influence Nurses’ Decision Making? A Qualitative Study

2021 ◽  
Vol 11 (3) ◽  
pp. 714-727
Author(s):  
Rana Alaseeri ◽  
Aziza Rajab ◽  
Maram Banakhar

Decision-making processes (DMPs) can be altered by several factors that might impact patient outcomes. However, nurses’ views and experiences regarding the multitude of personal and organizational factors that may facilitate or inhibit their decision-making abilities have rarely been studied. Purpose: To explore the personal and organizational factors that influence nurse DMPs in clinical settings at Ministry of Health hospitals (MOH). Method: A qualitative research design was conducted. A purposive sample of 52 nurses was recruited from general and critical wards in two major Ministry of Health hospitals in Hail, Saudi Arabia. A total of eight focus groups (semi-structured interviews) were conducted to elicit participant responses. Results: In this study, the personal differences covered nurses’ experience, physical and psychological status, autonomy, communication skills, values, and cultural awareness. Organizational factors included the availability of resources, organizational support, workload, the availability of educational programs, the availability of monitoring programs, and the consistency and unity of policies, rules, and regulation applications. Conclusions: The major contribution of this study is the comprehensive illustration of influential factors at both the personal level and the organizational level that impact DMPs to achieve desired outcomes for patients and health organizations. This study utilizes a framework that could explain the nature of nurse DMPs.

Author(s):  
Barbara A. Fallon ◽  
John D. Fluke ◽  
Martin Chabot ◽  
Cindy Blackstock ◽  
Vandna Sinha ◽  
...  

This chapter summarizes a series of published papers that used data from the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS) to explore the influence of case and organizational characteristics on decisions to place Aboriginal children in out-of-home placements. The premise of the analyses was that these influences were consistent with the framework of the Decision-Making Ecology. In Canada, Aboriginal children are overrepresented at all points of child welfare decision-making: investigation, substantiation, and placement in out-of-home care. Case factors accounting for the overrepresentation of Aboriginal children at all service points in the child welfare system include poverty, poor housing, and substance misuse, and these factors, when coupled with inequitable resources for First Nations children residing on reserves, result in the overrepresentation of Aboriginal children in the Canadian child welfare system. For this study, the authors examine case characteristics and organizational factors in a multilevel context, hypothesizing that children are more likely to be placed out of home in agencies that serve a relatively high proportion of Aboriginal children. According to the statistical models presented, the most important of these factors is whether the provincial government operates the child welfare agency. As with the proportion of Aboriginal children on the caseload, the risk of a child being placed is greater in government-run agencies compared to agencies operated by private funders. Further analysis needs to be conducted to fully understand individual- and organizational-level variables that may influence /decisions regarding placement of Aboriginal children.


2020 ◽  
Vol 49 (8) ◽  
pp. 1677-1694 ◽  
Author(s):  
Georgiana-Alexandra Badoiu ◽  
Mercedes Segarra-Ciprés ◽  
Ana B. Escrig-Tena

Purpose The purpose of this paper is to provide a deeper insight into the organizational factors and personal motivations of intrapreneurs that may foster intrapreneurial behaviors of employees in a new technology-based firm (NTBF). Design/methodology/approach The paper takes a qualitative approach to explore organizational and individual antecedents of employees’ intrapreneurial behavior. A single case study was conducted on the basis of semi-structured interviews with the founders and top managers of the firm and with intrapreneurial employees. Findings Results show that intrapreneurial projects may arise in firms whose top managers support corporate entrepreneurship (CE) in a non-active manner. Intrapreneurial behaviors of employees can emerge despite the lack of time and limited resources available for undertaking projects. Moreover, work discretion and mutual confidence and the quality of the relationship between employees and top managers are the most valued factors for intrapreneurs. Practical implications Based on the intrapreneurial projects studied, this paper helps to contextualize intrapreneurs’ perception of organizational support and the personal motivations for leading projects within an NTBF. Originality/value Traditionally, the literature has mainly focused on the top-down implementation of entrepreneurial projects within large firms. This paper contributes to the understanding of the combination of firm- and individual-level factors that facilitate intrapreneurial behaviors of employees. It also illustrates the contextual conditions and the firms’ orientation on CE within an NTBF.


Author(s):  
Ji Yeon Lee ◽  
Juh Hyun Shin

Purpose: The purpose of this study was to examine the factors associated with nursing home (NH) registered nurses’ (RNs’) intention to stay in their workplace. Methods: A cross-sectional questionnaire survey was used in this study. Organizational NH data were acquired from the administrators of 56 NHs. Individual RN data were acquired from 189 RNs in 56 NHs across Korea. The questionnaire assessed RNs’ intention to stay in their workplace as well as potential associated factors, including individual and organizational factors. Multilevel regression analysis was used to determine which factors explain RNs’ intention to stay in their workplace. Findings: NH RNs’ intention to stay was positively associated with RNs’ years of experience in NHs, career promotion opportunities, and perceptions of NH resident safety culture. At the organizational level, no factors were found to significantly relate to the intention to stay of NH RNs. Conclusions: Although this study found that organizational factors have no statistically significant relationship with RNs’ intention to stay, organizational support must precede changes in individual factors that have significant relationships. Clinical Relevance: Organizational (NH) and individual (RN) efforts must be made to enhance RNs’ intention to stay because individual factors can change after implementing efforts such as providing educational programs, promotional opportunities, and forming a positive resident safety culture at an organizational level.


2020 ◽  
Vol 3 (1) ◽  
pp. 60
Author(s):  
Fitri Eka Aliyanti ◽  
Muhammad Iqbal ◽  
Rheyza Virgiawan

This research is purposed to determine the factors that influence online food purchase decision making, by classifying them into certain classifications, namely primary dish, snack, and beverage, and emphasizing on purchase made online by Universitas Islam Indonesia (UII) Yogyakarta students. Furthermore, this research analyzes how halal awareness influences their purchasing decisions. The primary data sources were obtained using semi-structured interviews. The method of data analysis was performed by ranking respondents' answers using the scoring method. The result of this research shows that the most influential factors in purchasing decision making are halal awareness, with a sequence of elements from the most prioritized to those not as follows: halal awareness, favorite/preferences, taste, price, health, curiosity, advertisement, lifestyle, packaging, then bandwagon effect, and themost important factor influencing food online purchase decisions is halal awareness. Thus, from this study, it can be concluded that the majority of UII students have considered the halal aspect when making online food purchases.


2021 ◽  
Vol 28 (1) ◽  
pp. 273-299
Author(s):  
Katarina Kostelić ◽  
Emanuel Peruško

GROUPS OF FACTORS AND THEIR INFLUENCE ON IMPORTANT LIFE DECISIONS: THE HOMELESS IN PULA The socially unfavorable status of the homeless is still not sufficiently supported by risk-reduction measures of homelessness in Croatia, which indicates the need for additional research of aggravating factors and development of prevention measures. Based on a review of current knowledge about the homeless, two opposing approaches are observed: the homelessness as a result of a set of circumstances and the homelessness as one’s own choice. The approach used in this paper is a combination of the above and refers to the review of groups of influencing factors and their role in respondents’ decision-making that preceded the situation of homelessness. The aim of this paper is to set the theoretical basis for investigation of influential factors in the context of decision-making that preceded homelessness and to present the results of exploratory research based on the purposive sampling (users of the »Homeless Shelter of the Red Cross Pula«). The questionnaire and semi-structured interviews were used for obtaining self-reported data based on respondents’ recollections of situations in which they made relevant socioeconomic decisions in their lives. The results indicate that the respondents’ homelessness situation was preceded by decision-making with a combination of at least three influential factors from different groups of aggravating influences. The observed regularities are the basis for further research. Key words: homelessness, influences on decision-making, individual factors, strudtural factors


2022 ◽  
Vol 80 (1) ◽  
Author(s):  
Peivand Bastani ◽  
Jamshid Bahmaei ◽  
Ebrahim Kharazinejad ◽  
Mahnaz Samadbeik ◽  
Zhanming Liang ◽  
...  

Abstract Background The COVID-19 pandemic increased the need for new valid scientific evidence to support urgent clinical and policy decision making; as well as improved processes for the rapid synthesis, uptake and application of that evidence. Evidence informed policymaking (EIPM) can be considered as a way to access and use the results of evidence in practice. This study aimed to determine what effects COVID-19 had on the way Iranian health managers and policymakers use evidence in their decisions. Methods This study was conducted in 2021 applying a qualitative research design. Data was collected through semi-structured interviews. Thirty health care managers, policy makers and medical university faculty members were recruited as the study participants, initially via a purposive sample, followed by snowballing. A conventional content analysis presented by Hsieh and Shannon (2005) was applied for data analysis. Results Ten main themes emerged from the data including: 1) roles and duties of knowledge brokers (KBs); 2-5) the roles, benefits, barriers and necessities of applying Knowledge Translation Exchange (KTE) tools; 6-8) the facilitators, benefits and barriers to the application of evidence during COVID-19; 9) challenges of rapid evidence production evidence during COVID-19 and 10) consequences of not applying evidence during COVID-19. According to the present conceptual framework, KBs act as an intermediator between the large amounts of knowledge produced and decision makers. KTE tools should be applied to enhance EIPM during COVID-19. Attention should be paid to the facilitators, barriers, benefits and necessities of evidence application during COVID-19 to avoid negative consequences for the health system. Conclusions Results of this study show that developing KTE tools and activating KBs can be among the main strategies to produce applied actionable messages for policymakers to move toward EIPM; and that this applies even when rapid decision making is required, such as during the COVID-19 pandemic. It is strongly recommended to reinforce the local capacities through supporting scientific networks and relationships between research centers and local and national policymakers. At the same time, attention to local barriers to and facilitators of the application of evidence while facing a pandemic can pave the way to better identification of health system`s problems and rapid responses.


Author(s):  
J. Christopher Graham ◽  
Alan J. Dettlaff ◽  
Donald J. Baumann ◽  
John D. Fluke

The Decision-Making Ecology provided a framework for empirically testing the impact of case, caseworker, and organizational factors on the decision to place children in out-of-home care. The structural equation model developed fit the data extremely well, indicating a complex relationship between the variables. The main findings indicate that case factors, even as aggregated to the worker level, were of most importance: Percent removed was increased in part by greater average risk being assessed and more families on a worker’s caseload being low income. Furthermore, removal rates were increased by lower proportions of Hispanic families on the caseload, as well as by lower organizational support and a perception of manageable workload and sufficient resources. Individual factors (i.e., variables characterizing the caseworkers themselves) were not found to directly influence the placement decision, including workers’ own race/ethnicity, although various orders of mediated effects were indicated, and these are detailed. Interrelationships between variables that affect case, caseworker, and organizational factors are discussed along with implications for practice.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S381-S381
Author(s):  
Franziska Zúñiga ◽  
Sabine Hahn

Abstract Few studies so far take a broader perspective at staffing in nursing homes (NH) including e.g. the impact of activity staff on quality outcomes. Moreover, few assess resident-reported quality of life (QoL). Examining the relationship of organizational and resident factors with QoL, we report the results from a questionnaire survey of organizational characteristics from 51 Swiss nursing homes and of structured interviews with 863 residents. Residents rated their quality of life with a single item. A logistic regression model was applied. At the organizational level, a higher number of activity staff was significantly related to QoL, while at resident level, both the possibility to select their NH and less care dependency were significant predictors. Meaningful activities as well as autonomous decision-making concerning one’s living place seem of paramount importance for residents’ better perception of their QoL. NH staff mix needs to address the possibility to offer enjoyable activities.


2018 ◽  
Vol 14 (1) ◽  
pp. 72-81 ◽  
Author(s):  
Clare MacMahon ◽  
Aisling Bailey ◽  
Morag Croser ◽  
Juanita Weissensteiner

The present study was designed to explore the skill of recruiting in the professional Australian Football League, with a particular interest in the approach to decision making and information processing. The research design utilised semi-structured interviews and a survey instrument. A total of 12 participants comprised of 11 active head recruiters representing 11 Australian Football League Clubs, and one former expert Australian Football League recruiter undertook semi-structured, in-depth interviews to provide insight into recruitment decision making. Additionally, all participants completed a survey determining preferences for intuitive and deliberative decision-making styles. A model created represents the identification of four influential factors in the recruitment approach including (a) recruiter background; (b) recruiter attributes; (c) recruiter understanding of team needs and (d) recruiter–coach relationship. In particular, recruiters revealed that the style of decision making they use is influenced by the relationship with the head coach. Recruiting as a stand-alone position is not well understood. This work shows that both intuition and deliberation are used, the extent to which appears to be influenced by the recruiter–coach relationship. This work offers a strong base to further explore recruiting and talent identification in professional sport, and, particularly, how relationships influence decision style and performance.


2012 ◽  
Vol 16 (01) ◽  
pp. 1250002 ◽  
Author(s):  
WISSAM MAGADLEY ◽  
KAMAL BIRDI

The purpose of this study is to investigate the type of factors that facilitate two key aspects of the innovation process, idea generation and idea implementation. It is common in innovation research to collapse the two together which in some cases may lead to erroneous conclusions if the two aspects relate differently to organizational antecedents. Employing a mixed-method approach using a questionnaire and semi-structured interviews the study examined and further explored whether individual, group and organizational level factors relate differently to the two innovation aspects. The questionnaire findings showed that individual level factors had a stronger influence on idea generation than idea implementation and vice versa for group and organizational factors. A similar pattern emerged in the interview findings where the factors that influenced idea implementation fell mainly into group and organizational typologies. The implications of these findings for organizations and research are considered.


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