Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers

Abstract Objectives: to establish the decision preferences of nurse managers with emphasis on maternal-child patient safety, in order to understand how to prioritize actions and investments in the application of nursing assignments should be given. Methods: a quantitative research with convenience...

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Main Authors: Alexssandro da Silva, Garibaldi Dantas Gurgel Júnior, James Anthony Falk, Marcel de Moraes Pedroso
Format: Article
Language:English
Published: Instituto Materno Infantil de Pernambuco
Series:Revista Brasileira de Saúde Materno Infantil
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000300577&lng=en&tlng=en
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author Alexssandro da Silva
Garibaldi Dantas Gurgel Júnior
James Anthony Falk
Marcel de Moraes Pedroso
author_facet Alexssandro da Silva
Garibaldi Dantas Gurgel Júnior
James Anthony Falk
Marcel de Moraes Pedroso
author_sort Alexssandro da Silva
collection DOAJ
description Abstract Objectives: to establish the decision preferences of nurse managers with emphasis on maternal-child patient safety, in order to understand how to prioritize actions and investments in the application of nursing assignments should be given. Methods: a quantitative research with convenience sampling and a MCDA methodology (Multiple Criteria Decision Analysis) was operationalized by the PROMETHEE algorithm (Preference Ranking Organization Method for Enrichment Evaluations) through the use of a graphical preference capture tool and sensitivity analysis to ensure the robustness of the model. A consolidation of the criteria was carried out by means of the dimensions: reception, classification, assistance, orientation, team integration and administrative services, defined by criteria similarity and calculated by means of weighted preference indexes. Results: a greater decision preference or relative importance was attributed to the professional category Obstetric Nurses (46.47%), which stood out with the highest preferences in three dimensions: Integration (22.74%), Assistance (13.37%) and Administrative Aspects (10.36%). The dimensions not directly involved with the patient (Team Integration and Administrative Aspects), altogether had a high decision-making preference or relative weight (47.96%). Conclusions: the model of decision-making preferences furnished innovative contributions in regard to the priority established on actions and investments to create greater safety for maternal and child patients.
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spelling doaj.art-787431303cb7402b8babb0bd99bf0bc82022-12-21T18:57:01ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-930418357759110.1590/1806-93042018000300008S1519-38292018000300577Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managersAlexssandro da SilvaGaribaldi Dantas Gurgel JúniorJames Anthony FalkMarcel de Moraes PedrosoAbstract Objectives: to establish the decision preferences of nurse managers with emphasis on maternal-child patient safety, in order to understand how to prioritize actions and investments in the application of nursing assignments should be given. Methods: a quantitative research with convenience sampling and a MCDA methodology (Multiple Criteria Decision Analysis) was operationalized by the PROMETHEE algorithm (Preference Ranking Organization Method for Enrichment Evaluations) through the use of a graphical preference capture tool and sensitivity analysis to ensure the robustness of the model. A consolidation of the criteria was carried out by means of the dimensions: reception, classification, assistance, orientation, team integration and administrative services, defined by criteria similarity and calculated by means of weighted preference indexes. Results: a greater decision preference or relative importance was attributed to the professional category Obstetric Nurses (46.47%), which stood out with the highest preferences in three dimensions: Integration (22.74%), Assistance (13.37%) and Administrative Aspects (10.36%). The dimensions not directly involved with the patient (Team Integration and Administrative Aspects), altogether had a high decision-making preference or relative weight (47.96%). Conclusions: the model of decision-making preferences furnished innovative contributions in regard to the priority established on actions and investments to create greater safety for maternal and child patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000300577&lng=en&tlng=enTomada de decisõesServiços de saúde materno-infantilSegurança do paciente
spellingShingle Alexssandro da Silva
Garibaldi Dantas Gurgel Júnior
James Anthony Falk
Marcel de Moraes Pedroso
Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers
Revista Brasileira de Saúde Materno Infantil
Tomada de decisões
Serviços de saúde materno-infantil
Segurança do paciente
title Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers
title_full Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers
title_fullStr Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers
title_full_unstemmed Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers
title_short Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers
title_sort maternal and child patient safety a multiple criteria analysis of the decisionmaking preferences of nurse managers
topic Tomada de decisões
Serviços de saúde materno-infantil
Segurança do paciente
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000300577&lng=en&tlng=en
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