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The weight of organizational factors on heuristics: Evidence from triage decision-making processes

  • Dades identificatives

    Identificador: imarina:5610976
    Autors:
    Gloria Barbera-Marine, MCannavacciuolo, LorellaIppolito, AdelaidePonsiglione, CristinaZollo, Giuseppe
    Resum:
    © 2018, Emerald Publishing Limited. Purpose: The purpose of this paper is to investigate the influence of organizational factors on individual decision-making under conditions of uncertainty and time pressure. A method to assess the impact of individual and organizational factors on individual decisions is proposed and experimented in the context of triage decision-making process. Design/methodology/approach: The adopted methodology is based on the bias-variance decomposition formula. The method, usually applied to assess the predictive accuracy of heuristics, has been adjusted to discriminate between the impact of organizational and individual factors affecting heuristic processes. To test the methodology, 25 clinical scenarios have been designed and submitted, through simulations, to the triage nurses of two Spanish hospitals. Findings: Nurses’ decisions are affected by organizational factors in certain task conditions, such as situations characterized by complete and coherent information. When relevant information is lacking and available information is not coherent, decision-makers base their assessments on their personal experience and gut feeling. Research limitations/implications: Discriminating between the influence of organizational factors and individual ones is the starting point for a more in-depth understanding of how organization can guide the decision process. Using simulations of clinical scenarios in field research does not allow for capturing the influence of some contextual factors, such as the nurses’ stress levels, on individual decisions. This issue will be addressed in further research. Practical implications: Bias and variance are useful measurements for detecting process improvement actions. A bias prevalence requires a re-design of organization
  • Altres:

    Autor segons l'article: Gloria Barbera-Marine, M; Cannavacciuolo, Lorella; Ippolito, Adelaide; Ponsiglione, Cristina; Zollo, Giuseppe
    Departament: Gestió d'Empreses
    Autor/s de la URV: Barberà Mariné, Maria Glòria
    Paraules clau: Uncertainty Triage Strategy Rationality Organizational factors Nurses Judgment Information Individual cognition Frugal Dynamics Design Cognitive heuristic Cognition Bias and variance error
    Resum: © 2018, Emerald Publishing Limited. Purpose: The purpose of this paper is to investigate the influence of organizational factors on individual decision-making under conditions of uncertainty and time pressure. A method to assess the impact of individual and organizational factors on individual decisions is proposed and experimented in the context of triage decision-making process. Design/methodology/approach: The adopted methodology is based on the bias-variance decomposition formula. The method, usually applied to assess the predictive accuracy of heuristics, has been adjusted to discriminate between the impact of organizational and individual factors affecting heuristic processes. To test the methodology, 25 clinical scenarios have been designed and submitted, through simulations, to the triage nurses of two Spanish hospitals. Findings: Nurses’ decisions are affected by organizational factors in certain task conditions, such as situations characterized by complete and coherent information. When relevant information is lacking and available information is not coherent, decision-makers base their assessments on their personal experience and gut feeling. Research limitations/implications: Discriminating between the influence of organizational factors and individual ones is the starting point for a more in-depth understanding of how organization can guide the decision process. Using simulations of clinical scenarios in field research does not allow for capturing the influence of some contextual factors, such as the nurses’ stress levels, on individual decisions. This issue will be addressed in further research. Practical implications: Bias and variance are useful measurements for detecting process improvement actions. A bias prevalence requires a re-design of organizational settings, whereas training would be preferred when variance prevails. Originality/value: The main contribution of this work concerns the novel interpretation of bias and variance concepts to assess organizational factors’ influence on heuristic decision-making processes, taking into account the level of complexity of decision-related tasks.
    Àrees temàtiques: Management science and operations research Management Interdisciplinar General business,management and accounting Engenharias iii Economia Ciencias sociales Business, management and accounting (miscellaneous) Business, management and accounting (all) Business Administração, ciências contábeis e turismo Administração pública e de empresas, ciências contábeis e turismo
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 00251747
    Adreça de correu electrònic de l'autor: gloria.barbera@urv.cat gloria.barbera@urv.cat
    Identificador de l'autor: 0000-0003-2578-1301 0000-0003-2578-1301
    Data d'alta del registre: 2025-01-08
    Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Management Decision. 57 (11): 2890-2910
    Referència de l'ítem segons les normes APA: Gloria Barbera-Marine, M; Cannavacciuolo, Lorella; Ippolito, Adelaide; Ponsiglione, Cristina; Zollo, Giuseppe (2019). The weight of organizational factors on heuristics: Evidence from triage decision-making processes. Management Decision, 57(11), 2890-2910. DOI: 10.1108/MD-06-2017-0574
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2019
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Business,Business, Management and Accounting (Miscellaneous),Management,Management Science and Operations Research
    Uncertainty
    Triage
    Strategy
    Rationality
    Organizational factors
    Nurses
    Judgment
    Information
    Individual cognition
    Frugal
    Dynamics
    Design
    Cognitive heuristic
    Cognition
    Bias and variance error
    Management science and operations research
    Management
    Interdisciplinar
    General business,management and accounting
    Engenharias iii
    Economia
    Ciencias sociales
    Business, management and accounting (miscellaneous)
    Business, management and accounting (all)
    Business
    Administração, ciências contábeis e turismo
    Administração pública e de empresas, ciências contábeis e turismo
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