The Effect of Problem Solving and Decision Making Training Given to Nurses Managers

The Effect of Problem Solving And Decision Making Education On Problem Solving and Decision Making Skills of Nurse Managers

This research was conducted to evaluate the impact of the Problem Solving and Decision Making Training program, which was developed to enhance the problem-solving and decision-making skills of nurse managers at the lower, middle, and upper levels, by the subordinates and superiors of nurse managers. To assess the problem-solving and decision-making skills of nurse managers as perceived by their subordinates, the Problem-Solving Inventory-Managerial Version (PSI-MV) and Decision-Making Styles Scale-Managerial Version (DMSS-MV) underwent adaptation, validity, and reliability studies. These studies aimed to enable the evaluation of nurse managers' problem-solving and decision-making abilities from the perspective of their subordinates.

Study Overview

• Status: Completed
• Conditions: Education; Decision Making; Nurse; Problem Solving
• Intervention / Treatment: Other: Problem Solving And Decision Making Education

Detailed Description

This research was conducted to evaluate the impact of the Problem Solving and Decision Making Training program, which was developed to enhance the problem-solving and decision-making skills of nurse managers at the lower, middle, and upper levels, by the subordinates and superiors of nurse managers. To assess the problem-solving and decision-making skills of nurse managers as perceived by their subordinates, the Problem-Solving Inventory-Managerial Version (PSI-MV) and Decision-Making Styles Scale-Managerial Version (DMSS-MV) underwent adaptation, validity, and reliability studies. These studies aimed to enable the evaluation of nurse managers' problem-solving and decision-making abilities from the perspective of their subordinates. The study was carried out using a systematic and randomized controlled design, incorporating elements such as pre-test-post-test, experimental, and control groups. In the initial phase of the research, the target population comprised 2,108 nurses employed at a city hospital in Istanbul, while the actual sample included 328 nurses. The validity and reliability studies of PSI-MV and DMSS-MV were carried out. In the scale analyses, psycholinguistic and psychometric properties were examined. In the second part of the research, a sample of 300 nurses, including 60 nurse managers and their subordinates (30 in the experimental group and 30 in the control group), was included using G*Power analysis for sample calculation.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey
    • İstanbul Üniversitesi - Cerrahpasa (IUC)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

The criteria for inclusion in the sample for nurse managers were determined as follows:

• Working as a nurse manager,
• Working in a managerial position for at least six months,
• Volunteering to participate in the research,
• Ensuring full-time participation in the training program to be held within the scope of the research for the experimental group.

Inclusion criteria for subordinate nurses or nurse managers were determined as follows:

• Working under a nurse manager in the experimental or control group,
• Working with the nurse manager he/she evaluated for at least six months,
• Volunteer to participate in the research.

Exclusion Criteria:

• Not meeting the sampling inclusion criteria,
• Filling the data collection tools incompletely.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: the pre-post training and 3rd-month evaluations of problem-solving skills of the nurse managers in; The research was conducted with randomized control, pretest-posttest, experimental, and control group design. By using G*Power analysis, it was determined that the experimental group of the nurse managers was 30 people and included randomly in the sample calculation of the study. The experimental group was given 2 days of problem-solving and decision-making training. Before the training, the nurse administrators in the experimental group were administered the Participant Information Form-Nurse Manager, PSI, DMSS and two Case Evaluation Forms and Problem Solving and Decision Making Information Form-Pre-Test-Post-Test.	Other: Problem Solving And Decision Making Education; The Problem-Solving and Decision-Making Training Program, which was based on developing problem-solving and decision-making skills of nurse managers in the experimental group (n=30), was prepared. 2 faculty members and the researcher organized the training program consisting of four modules and 16 hours. In the content of the Training Program; the definition of the concept of problem-solving and decision-making, the process of problem-solving and decision-making and decision-making models, the impact of decision-making on employee, patient and organizational outcomes, and the importance of managers' roles in decision-making, the importance of the role of nurse managers in decision making, the impact of managerial decisions on patient care outcomes, the impact of managerial decisions on nurse outcomes, the impact of administrative decisions on organizational results/performance, problem-solving, and decision-making techniques and case studies.
No Intervention: the pre-post training and 3rd-month evaluations of the decision-making skills of the nurse managers; The research was carried out in randomized control, pretest-posttest, experimental and control group design. In the sample calculation of the study, 30 of the manager nurses were determined by using G*Power analysis as the control group and were included randomly. No intervention was made in the control group. At the same time as the experimental group, the nurse administrators in the control group were also administered the Participant Information Form-Nurse Manager, PSI and DMSS.
No Intervention: pre-training and 3rd-month evaluations of regarding the problem-solving and decision-making skills; Three months after the initial assessment, the nurse managers in the experimental and control groups were administered PCI and CVSQ.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
The change in the Decision-Making Styles Scale	up to 1 week
The decrease in the mean score of the Problem Solving Inventory	up to 3 months

Collaborators and Investigators

• Sponsor: Istanbul University - Cerrahpasa (IUC)
• Investigators: Principal Investigator: Betül SÖNMEZ, Ass.pr.dhd, drhembetulsonmez@gmail.com

Study record dates

Study Major Dates

• Study Start (Actual): October 10, 2022
• Primary Completion (Actual): October 20, 2022
• Study Completion (Actual): February 3, 2023

Study Registration Dates

• First Submitted: June 9, 2023
• First Submitted That Met QC Criteria: August 2, 2023
• First Posted (Actual): August 3, 2023

Study Record Updates

• Last Update Posted (Actual): August 3, 2023
• Last Update Submitted That Met QC Criteria: August 2, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Keywords: education; decision making; problem solving; nurse manager
• Other Study ID Numbers: 92450

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Yes
• IPD Sharing Time Frame: 2024 and unlimited
• IPD Sharing Access Criteria: This work, which is a doctoral thesis, can be accessed after it is published at https://tez.yok.gov.tr/UlusalTezMerkezi/.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No