The Efficacy of Evidence-Based Practice Training in Enhancing Decision-Making Competency Utilizing Fishbone Diagrams Among Nurse Managers at Hospital B Bandung

Angela Lala, Wilhelmus Harry Susilo, Tutiany Tutiany

Abstract

The nurse manager is crucial in overseeing and directing nursing services to accomplish organizational objectives effectively. Nurse managers must possess the skill of evidence-based decision-making. This reseacrh aims to determine the efficacy of evidence-based practice training in enhancing decision-making skills among nurse managers at Hospital B Bandung, specifically through utilizing the Fishbone Diagram. This study employs quantitative research methodologies utilizing a pre-experimental design, specifically a one-group pre-post design. The research sample comprised 62 nurse managers, including 28 section heads, deputy section heads, coordinators, and 34 CCMs. These individuals received evidence-based practice decision-making training interventions involving fishbone diagrams and post-training intervention. The data analysis method employs the Wilcoxon bivariate test and the multivariate ordinal logistic regression test. The intervention yielded statistically significant improvements in decision-making practices, knowledge, attitudes, and skills. The p-value for these changes was 0.000 (p < 0.05), indicating a high confidence level in the results. This study suggests that providing evidence-based practice training to hospital nurse managers is necessary to enhance their decision-making skills. This can be achieved by utilizing fishbone diagrams or other similar tools.

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Authors

Angela Lala
[email protected] (Primary Contact)
Wilhelmus Harry Susilo
Tutiany Tutiany

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