Experience Of Decision-making Processes Research Articles

Uwarunkowania krótkotrwałych rządów w Japonii: przykład premiera Sugi Yoshihide

Japan is one of the countries with the most frequently changing heads of government in the world. The aim of this article is to examine both the structural and individual causes of this situation by using the example of the short term in office of Prime Minister Suga Yoshihide from 2020 to 2021. While such factors as strong ministerial sectionalism in the government, factionalism in the Liberal Democratic Party (LDP), high frequency of parliamentary and ruling party presidential elections, as well as consensual political culture made it difficult for prime ministers to remain in office for a longer period of time, the electoral and administrative reforms of the 1990s facilitated the heads of government to stabilize the government’s social and party base of support. Nevertheless, the usage of the new institutional instruments to remain in power depended on the prime minister’s ability to create his/her positive image among voters. This article analyzes why Prime Minister Suga, despite leading a stable ruling coalition in both houses of the parliament and having extensive experience in decision-making process, was unable to maintain the government’s initially high popularity and resigned only one year after having formed his cabinet.

Expert-analytical Support of Foreign Policy Activities

The article presents the final results of the project studying the system of expert and analytical support for foreign policy decisions. The project is devoted to conducting a survey and a set of interviews with employees of government bodies (leaders and chief specialists) who are involved in the process of preparing and making foreign policy decisions. The article contains the officials’ assessment of the main challenges when interacting with the scientific and expert community, as well as a "desired image" of such interaction.The study was held in two stages (stage I in February-October 2020, stage II-in January-August 2021) in the form of a survey with a set of follow-up interviews for a more detailed interpretation of the data obtained. The interviewees included 24 employees of federal executive bodies (the Ministry of Foreign Affairs of Russia and Rossotrudnichestvo; departments of international cooperation of line ministries, agencies and services); offices of the chambers of the Federal Assembly of the Russian Federation (departments providing international and inter-parliamentary cooperation). All participants of the study are in positions of the "managers" category or are part of the group of "chief specialists", that is, they have experience in decision-making process and/or in elaborating them. The survey and interviews were anonymous. The research is within structural-functional, institutional and regulatory approaches. The authors note that informational materials with low level of generalization and lacking recommendations and forecasts will never replace genuine analytics and expertise. Given the development of artificial intelligence, generalizing information will be automatized. As a result, expertise has to be of better quality.

The nurse's experience of decision-making processes in missed nursing care: A qualitative study.

To explore nurses' perspectives regarding the decision-making processes that lead to missed nursing care and to identify the personal and contextual attributes involved in these processes. A qualitative study was undertaken between April - October 2018. A total of 28 registered nurses working in different wards in hospital settings participated in nine focus groups with semi-structured interviews. An interview guide encouraged nurses to share perceptions of missed care and the personal and contextual attributes shaping their decision-making. Content analysis revealed three themes related to nurses' decision-making processes for whether to omit or delay care. First, nurses emphasized the role of nurses' agency, suggesting explicit or implicit rationing of care, regardless of scarce resources. Second, nurses distinguished between two modes of thinking that they labelled "automated thinking," activated in routine situations and "effortful thinking," initiated in more novel situations. Finally, nurses identified situational factors triggering fluctuations in their awareness such as task type, difficult patients and the presence of relatives and the head nurse. Nurses are aware of the processes guiding a decision to omit or delay care. They pointed to patient, nurse and ward conditions that serve as cues in their decision whether to miss care. Identifying these cues supports Hammond's cognitive continuum theory of decision-making and may serve in the development of training programmes for nurses aimed at limiting the phenomenon. The study addressed missed nursing care through a decision-making lens. The findings pointed to nurses' agency as shaping decisions about whether to miss care and identified the personal and contextual cues that guide nurses' decisions. These findings call for organizational training programmes encouraging nurses to identify barriers and facilitators of missed nursing care and how to overcome them.

Ethical decision-making in nursing homes: Influence of organizational factors

In this article we report findings from a qualitative study that explored how doctors and nurses in nursing homes describe professional collaboration around dying patients. The study also examined the consequences this can have for the life-prolonging treatment of patients and the care of them and their relatives. Nine doctors and 10 nurses from 10 Norwegian nursing homes were interviewed about their experience of decision-making processes on life-prolonging treatment and care. The findings reveal that the frameworks for the professional collaboration and organization of physicians and nurses prevent patient treatment and care complying with ethical considerations and the law. These conditions have a challenging impact on the care of dying patients and their relatives.