Effective Decision Making for Health Care

2008 ◽  
Vol 8 (3) ◽  
pp. 463-470
Author(s):  
Kevin D. O’Rourke ◽  
1991 ◽  
Vol 11 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Anne Campbell

It is important that every professional involved with guiding ESRD patients through the maze of dialysis decision making critically analyze his or her own behaviors, possible biases and thought processes influencing discussions with patients. Health care professionals need to continue to strive to improve their skills for assuring optimal assistance to their patients in making decisions about the best types of treatments for them. In this era of evermore challenging patients and technologies, the skills for informing patients and assisting them with effective decision making about issues such as medical management, dialysis, transplantation or treatment termination are vita! for assuring quality care.


2021 ◽  
Vol 30 (2) ◽  
pp. 113-120
Author(s):  
Lesly A. Kelly ◽  
Karen L. Johnson ◽  
R. Curtis Bay ◽  
Michael Todd

Background As the role of a health care system’s influence on nurse burnout becomes better understood, an under-standing of the impact of a nurses’ work environment on burnout and well-being is also imperative. Objective To identify the key elements of a healthy work environment associated with burnout, secondary trauma, and compassion satisfaction, as well as the effect of burnout and the work environment on nurse turnover. Methods A total of 779 nurses in 24 critical care units at 13 hospitals completed a survey measuring burnout and quality of the work environment. Actual unit-level data for nurse turnover during a 5-month period were queried and compared with the survey results. Results Among nurses in the sample, 61% experience moderate burnout. In models controlling for key nurse characteristics including age, level of education, and professional recognition, 3 key elements of the work environment emerged as significant predictors of burnout: staffing, meaningful recognition, and effective decision-making. The latter 2 elements also predicted more compassion satisfaction among critical care nurses. In line with previous research, these findings affirm that younger age is associated with more burnout and less compassion satisfaction. Conclusions Efforts are recommended on these 3 elements of the work environment (staffing, meaningful recognition, effective decision-making) as part of a holistic, systems-based approach to addressing burnout and well-being. Such efforts, in addition to supporting personal resilience-building activities, should be undertaken especially with younger members of the workforce in order to begin to address the crisis of burnout in health care.


Author(s):  
András Sajó ◽  
Renáta Uitz

This chapter examines the relationship between parliamentarism and the legislative branch. It explores the evolution of the legislative branch, leading to disillusionment with the rationalized law-making factory, a venture run by political parties beyond the reach of constitutional rules. The rise of democratically bred party rule is positioned between the forces favouring free debate versus effective decision-making in the legislature. The chapter analyses the institutional make-up and internal operations of the legislature, the role of the opposition in the legislative assembly, and explores the benefits of bicameralism for boosting the powers of the legislative branch. Finally, it looks at the law-making process and its outsourcing via delegating legislative powers to the executive.


2013 ◽  
Vol 28 (3) ◽  
pp. 577-587 ◽  
Author(s):  
Donghyun Kim ◽  
Deying Li ◽  
Omid Asgari ◽  
Yingshu Li ◽  
Alade O. Tokuta ◽  
...  

2005 ◽  
Vol 11 (1) ◽  
pp. 133-166
Author(s):  
M. Iqbal

ABSTRACTIn the recent past life companies have made many decisions which they have had cause to deeply regret. This paper looks at the range of decision making theories available. It then examines recent examples of decisions that had unfavourable consequences and explores why they were taken, and goes on to describe a systematic approach to decision making which can help management assess more objectively the difficult choices confronting them today. The approach does not require espousal of any specific decision theory or method of value measurement. The focus is on the decision making process and the organisation's capacity to handle change. The paper identifies the three requirements for effective decision making.


2011 ◽  
Vol 225-226 ◽  
pp. 407-410 ◽  
Author(s):  
Wan Qing Li ◽  
Mu Jie Chen ◽  
Wen Qing Meng

An unascertained measure-entropy evaluation model for the program selection of shaft construction under complex conditions is established so that a scientific and effective decision making method is provided in this paper, the evaluation model of shaft construction is established based on unascertained measure and entropy weight theory, then, the model proposed in this paper is applied to evaluate three shaft construction program comprehensively, and the evaluation results show validity and applicability of the model.


Author(s):  
Raj Veeramani ◽  
Narayanan Viswanathan ◽  
Shailesh M. Joshi

Abstract New approaches for decision making are emerging to support the use of the Internet for supply-web interactions in the manufacturing industry. In this paper, we discuss one such paradigm, namely similarity-based decision support. It recognizes that knowledge of similar experiences can support rapid and effective decision making in various forms of supply-web interactions. We illustrate this approach using two prototype systems, WebScout (an agent-based system for customer–supplier matchmaking in the job-shop machining industry context) and TOME (Treasury of Manufacturing Experiences — an Intranet application to aid manufacturability assessment in foundries).


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