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Nurse Leader and Manager Decisions

Nurse Leader and Manager Decisions

The DECIDE model is useful in decision-making in different fields. The nurse managers and leaders have the mandate to make critical decisions that determine the health and wellbeing of patients and the institution as well. The acronym stands for problem definition, criteria establishment, consideration of alternatives, identification of the best criteria, creation and implementation of an action plan, and evaluation, as well as monitoring of solutions and feedback when the need arises (Guo, 2008).

In a clinical setting, a patient complains about the food offered during breakfast. She states that the meal has too much protein and little vegetables. The nurse who is on shift states that the menu is not very flexible to accommodate all patients. Therefore, the hospital tries its best to ensure that patients have decent meals despite the constrained budget. However, the main alternatives to the issue are serving fewer proteins and more vegetable portions to the specific patient. The other alternative is to create menus that allow patients to choose their meals. The second alternative would cost more time and demand an expansion of the current meal budgets.

To expand the current budget, the hospital needs to involve the board of directors and key shareholders in the entire process, which prolongs the time of problem resolution. Thus, the best criterion is to offer each patient portions that do not match others. To implement the first alternative, the patients will be allowed to choose additional portions of less expensive items on the menu, such as vegetables and fruits. This alternative should suffice until a more permanent solution is found. The feedback will be sought first from the patient who complained initially. Other patients will be invited to provide alternative solutions, which can be adjusted to the needs of the greater patient population.


Guo, K. L. (2008). DECIDE: a decision-making model for more effective decision making by health care managers. Health Care Manag (Frederick), 27(2), 118-127. doi:10.1097/01.HCM.0000285046.27290.90


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Nurse Leader and Manager Decisions

Nurse leaders and managers and are responsible for making decisions in the healthcare setting.

First Post
Describe how you will be involved with the decision-making process using the DECIDE model. Include an example from a clinical situation you experienced in the healthcare setting.

Nurse Leader and Manager Decisions

Nurse Leader and Manager Decisions

Reply Post
Respond to at least one of your peers about their example that illustrates their interpretation of DECIDE. Expand on your peer’s ideas.Note:
  • “Expand on your peer’s ideas” needs more than 1 – 2 sentences for an acceptable reply.
  • If you refer to a website or article, be sure to cite it in APA format. This prevents plagiarism and allows your fellow students to review the cites and increase the class knowledge base.
  • Please make your initial post by midweek, and respond to at least one other student’s post by the end of the week. Please check the Course Calendar for specific due dates.

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