External Factors Influencing Decision-Making in Healthcare
Nurse Managers are responsible for making sound decisions in the healthcare setting. In addition, nurse managers supervise the staff in the healthcare setting. All responsibilities necessitate coordinated decision-making abilities; however, certain external factors influence decision-making either internally or externally. External factors are external concerns that influence healthcare decision-making operations. Interviewing a nurse manager would help identify external factors influencing his decision-making at the healthcare facility.
Overview of the Nurse Manager’s Role
The Nurse Manager was interviewed in depth about his duties and the factors that influenced his decision-making process. According to the interview, the nurse manager is in charge of administration. Administration takes many forms. The manager is in charge of hiring, screening, and interviewing nursing staff as an administrator. He is also in charge of medical records as well as the supplies and necessities used by the healthcare organization. In the interview, he also claims to use diplomatic skills when dealing with labor and union issues at work.
According to the interview, the second duty is planning and budgeting for the healthcare organization. He oversees and manages the organization’s financial processes. He also signs the healthcare facility’s salaries and supply bills. Staff management is one of the most important roles. The nurse manager confirms that the majority of his daily time is spent reviewing event load, reinforcing patient care values, and working on solutions. He also presides over the hospital’s board meetings. As a mentor, the nurse manager ensures that his staff is motivated to provide effective patient care plans. He also represents his staff at national meetings and keeps them up to date on the nation’s health requirements. Other responsibilities of the manager include case management, discharge planning, and the development of educational plans.
Perceptions of Decision-Making
Related to the Impact of Health Policy on Decision
Health policy refers to the decisions, actions, and plans taken to achieve specific healthcare goals in society. Healthcare policies achieve a variety of goals, including the definition of the future, which aids in the establishment of targets and reference points for various time periods, whether short or long-term. Employee safety programs, patient care procedures, security, drug handling, HR rules, and data privacy are all examples of such policies. Because the hospital’s policies must be followed, these policies influence the manager’s decision-making in the facility.
Macro-level health policies encompass both national and international standards for practice. As a result, nurse managers should enact legislation that complements these policies. Collaboration necessitates working acquaintance in which health facilities are involved in rule elaboration, thus taking advantage of opportunities to inspire the process (Akyürek, Sawalha, & Ide, 2015). Furthermore, healthcare facility decisions should be made in accordance with the stated policies.
Perceptions of the Role of Regulatory Agencies
Regulators play an important role in health care and health insurance coverage. As a result, it has an impact on the decisions made in the healthcare facility. The various healthcare regulators protect patients and the general public from potential risks and harsh rules in healthcare institutions. Nurse managers have a strict mandate from healthcare regulators to provide policies that do not harm or exploit patients in an improper manner. These regulations are issued by both the government and private organizations. Regulatory agencies also monitor the activities and quality of services at healthcare institutions, which means that any decisions made should result in superior services at all costs (Sujan et al.,2016). The healthcare industry is governed by federal and state agencies.
Nurse Managers must always follow these regulations in order to provide effective patient care. Furthermore, most health institutions are licensed by healthcare regulators. Before issuing certificates, regulatory bodies ensure that healthcare institutions meet all of their service and policy requirements for both patients and staff. As a result, regulators ensure that healthcare decisions produce better healthcare outcomes, failing which licenses may be revoked.
Perceptions of the Influence of Health Care Financing
Healthcare financing refers to not only the various criteria for raising healthcare funds but also to fund allocation. The health funds used in developing and improving the quality of services at a healthcare organization are allocated by the government and other private organizations. As a result, decisions made in a healthcare facility must be based on the monetary value of the facility. For example, nurse managers make treatment decisions for a specific patient based on their financial resources. Also, the facility’s decision to use the appropriate and available equipment. Failure to comply with the financial capabilities of the healthcare facility may result in the institution’s bankruptcy.
Healthcare finances also influence facility decisions on what items to prioritize, thereby influencing the facility’s expenditure decision. The financial team has different levels in the healthcare setting; however, hospital input is based on the suggestions of all managers regarding future developments. Long-term investment refers to operational strategies as well as determining how the investments will affect the institution’s financial capability in the future. As a result, before making critical decisions about the facility’s development and treatment methods, nurse managers would consider the facility’s financial capability.
The Interview Analysis
The interview covers decision-making and the role of a nurse manager. The interview begins with the interviewee introducing himself as a nurse manager. The manager confirms that the majority of his work in the facility is delegated. He is also in charge of the institution’s financial flow. The nurse manager’s other responsibilities include meeting delegation, staff management, recruitment, and mentoring his staff in order to achieve the best patient outcomes. The second part of the interview focuses on the external factors that influence decision-making. The interviewee discusses how various factors influence his decisions regarding the facility’s performance. He begins by discussing macro-health policies. He maintains that the facility’s regulations are in accordance with federal and state healthcare policies.
Government and private health agencies develop policies that each health facility must follow. As a result, as the manager, he ensures that his decisions adhere to the policies and stated standards. Similarly, the interviewee confirms that regulatory agencies are another factor influencing his decision-making. Health regulators expect all health facilities to follow certain guidelines. As a result, the interviewee ensures that the decisions he makes do not violate the rights of his patients or his employees. Furthermore, he asserts that many forms of healthcare assistance are available as a result of regulatory requirements. The interviewee also claims that money influences his decisions. The facility must prioritize critical projects aimed at improving healthcare quality. Furthermore, the interviewee stated that decision-making, particularly in the healthcare sector, is critical because the facility deals with people’s health. Decision-making is thus dependent on research and investigations.
Conclusion
A lot of activities revolve around the role of a nurse manager, and the best way to learn more is to conduct interviews with these personnel. Managers are responsible for the management, financial control, motivation, and delegation. Furthermore, both internal and external factors influence decision-making. Finance availability, government policies, and regulatory bodies are examples of external factors. All decisions made by nurse managers must follow the stated codes. The following interview was with a nurse manager who discussed his roles and the factors that influence his decision-making ability.
References
Akyürek, Ç. E., Sawalha, R., & Ide, S. (2015). Factors affecting the decision-making process in healthcare institutions. Academy of Strategic Management Journal, 14(1), 1-14 https://www.abacademies.org/articles/asmj-volume-14-special-issue.pdf#page=5
Dang, A., Likhar, N., & Alok, U. (2016). Importance of economic evaluation in health care: An Indian perspective. Value in regional health issues, 9, 78-83. https://www.sciencedirect.com/science/article/pii/S221210991500103X
Sujan, M. A., Habli, I., Kelly, T. P., Pozzi, S., & Johnson, C. W. (2016). Should healthcare providers do safety cases? Lessons from a cross-industry review of safety case practices. Safety Science, 84, 181-189. https://www.sciencedirect.com/science/article/pii/S0925753515003501
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Question 
Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, and healthcare financing
External Factors Influencing Decision-Making
Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question)
Perceptions related to the impact of health policy on the decision. Perceptions are related to the impact of regulatory agencies on decision-making. Perceptions are related to the impact of healthcare financing on decision-making.
Analysis of the interview supported by the literature.