ADMINISTRATIVE SUPPORT AND ITS IMPACT ON THE DECISION-MAKING CONFIDENCE OF NURSE LEADERS IN A PRIVATE HOSPITAL IN CAVITE
Keywords:
Administrative Support, Decision-Making Confidence, Nurse Leaders, Nursing Leadership, Hospital AdministrationAbstract
Administrative support plays an important role in strengthening nursing leadership and decision-making confidence. This study aimed to determine the relationship between perceived administrative support and decision-making confidence among nurse leaders in a private hospital in Cavite, Philippines. A quantitative, descriptive-correlational research design was employed involving twelve (12) nurse leaders, including Head Nurses, Nurse Supervisors, and Nurse Managers, selected through purposive sampling. Data were collected using a structured questionnaire with a five-point Likert scale and analyzed using descriptive statistics, independent-samples t-test, one-way analysis of variance (ANOVA), and Pearson product-moment correlation. Findings revealed a high level of perceived administrative support (M = 4.19, SD = 0.50) and a very high level of decision-making confidence (M = 4.39, SD = 0.47). Significant differences in both variables were identified according to educational attainment, years of supervisory experience, and current position, while no significant differences were observed according to sex or leadership training completion. Furthermore, a very strong, positive, and statistically significant relationship was found between administrative support and decision-making confidence (r = .967, p < .001). These findings suggest that nurse leaders who perceive greater administrative support tend to report higher confidence in making leadership decisions. The study emphasizes the importance of effective communication, adequate resources, professional recognition, administrator accessibility, and involvement in organizational decision-making. Based on the findings, the Nurse Leader Empowerment and Confidence-Building (NLECB) Framework was developed to guide hospital administrators in strengthening organizational support and promoting leadership confidence. The findings provide a basis for developing supportive leadership practices within hospital settings.
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