How do nurse managers make decisions about quality issues on their units? We asked 10 nurse managers in 3 Arizona hospitals to describe how they resolved a recent quality issue. The managers tended to use a linear, but cognitively expensive strategy, often jumping from problem to solution without a clear goal and selecting solutions biased toward remedial education. Decision support tools should help managers think more systemically and efficiently, while encouraging consideration of more alternatives to reach targeted goals.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880498PMC
http://dx.doi.org/10.1097/NNA.0b013e3181d40f7cDOI Listing

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