1. Assessment of cognitive bias in decision-making and leadership styles among critical care nurses: a mixed methods study.
- Author
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Lean Keng, Soon and AlQudah, Hani Nawaf Ibrahim
- Subjects
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ACADEMIC medical centers , *CLINICAL competence , *COGNITION , *COMMUNICATION , *CONFIDENCE , *STATISTICAL correlation , *TEST validity , *INTENSIVE care nursing , *INTENSIVE care units , *INTERVIEWING , *LEADERSHIP , *RESEARCH methodology , *NURSING practice , *PROBABILITY theory , *QUESTIONNAIRES , *REGRESSION analysis , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SHIFT systems , *STATISTICS , *SURVEYS , *WORK environment , *DECISION making in clinical medicine , *QUALITATIVE research , *ORGANIZATIONAL structure , *MANAGEMENT styles , *JUDGMENT sampling , *DATA analysis , *MULTIPLE regression analysis , *PEER relations , *QUANTITATIVE research , *EDUCATIONAL attainment , *THEMATIC analysis , *DATA analysis software , *WORK experience (Employment) , *DESCRIPTIVE statistics , *HOSPITAL nursing staff ,RESEARCH evaluation - Abstract
Aims To raise awareness of critical care nurses' cognitive bias in decision-making, its relationship with leadership styles and its impact on care delivery. Background The relationship between critical care nurses' decision-making and leadership styles in hospitals has been widely studied, but the influence of cognitive bias on decision-making and leadership styles in critical care environments remains poorly understood, particularly in Jordan. Design Two-phase mixed methods sequential explanatory design and grounded theory. Setting: critical care unit, Prince Hamza Hospital, Jordan. Participant sampling: convenience sampling Phase 1 (quantitative, n = 96), purposive sampling Phase 2 (qualitative, n = 20). Methods Pilot tested quantitative survey of 96 critical care nurses in 2012. Qualitative in-depth interviews, informed by quantitative results, with 20 critical care nurses in 2013. Descriptive and simple linear regression quantitative data analyses. Thematic (constant comparative) qualitative data analysis. Results Quantitative - correlations found between rationality and cognitive bias, rationality and task-oriented leadership styles, cognitive bias and democratic communication styles and cognitive bias and task-oriented leadership styles. Qualitative - 'being competent', 'organizational structures', 'feeling self-confident' and 'being supported' in the work environment identified as key factors influencing critical care nurses' cognitive bias in decision-making and leadership styles. Two-way impact (strengthening and weakening) of cognitive bias in decision-making and leadership styles on critical care nurses' practice performance. Conclusion There is a need to heighten critical care nurses' consciousness of cognitive bias in decision-making and leadership styles and its impact and to develop organization-level strategies to increase non-biased decision-making. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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