DECISION-MAKING BY NURSES IN THE HOSPITAL SETTING: AN INTEGRATIVE LITERATURE REVIEW
DOI:
https://doi.org/10.70187/recisatec.v6i1.412Keywords:
Nursing, Decision-making, Leadership, Hospital environmentAbstract
To analyze recent scientific production on nurses’ decision-making in the hospital context. An integrative literature review was conducted in national and international databases, including studies published between 2020 and 2024. Afterapplying eligibility criteria, 14 studies were selected.Data were submitted to content analysis and organized into four thematic categories: decision-making practices; leadership for decision-making; multiprofessional decision making; anddecision-support tools. The results showed that nurses’ decision making is multifactorial, influenced by technicalscientific competencies, clinical leadership, interprofessional collaboration, organizational conditions, and the use of supporttools. A direct impact was observed on quality of care, patient safety, and care coordination. It is concluded that decision-making constitutes a strategic competence of hospital nursing.
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