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Slideshow presentation at the Nurses Leadership Program KFMC on June 7, 2011 by Professor Dr Omar Hasan Kasule Sr., MB ChB (MUK), MPH (Harvard) DrPH (Harvard) Professor (Epidemiology and Bioethics), Faculty of Medicine, King Fahd Medical City, Riyadh
1.0 PRINCIPLES OF DECISION MAKING 1
} Leaders and managers make strategic, tactical, or operational decisions.
} Programmed decisions are routine procedures and un-programmed decisions are creative, innovative, and risky.
} Major decisions are best taken incrementally.
} Certainty is better than uncertainty.
} Easier alternatives are preferred.
2.0 PRINCIPLES OF DECISION MAKING 2
} Discussions improve decision making.
} Best decisions address needs and not want and require time.
} Scientific decisions are better than hasty or prevaricative decisions.
} Decision making can be rational systematic, intuitive, mathematical or statistical. Consensus is better than majority decisions.
} A competent individual decision is better than that of a majority of average individuals. The worst decision is that by an average individual.
3.0 PROCESS OF DECISION-MAKING 1
} All possibilities are considered and the larger picture is visualized while putting the decision in proper context.
} Review of previous related decisions helps.
} An assessment is made whether a decision is necessary.
} A bad decision is stopped before making a better one.
} The degree of risk and uncertainty must be known.
} The present decision must be related to others.
} Biases are acknowledged.
} Implementability must be considered.
4.0 PROCESS OF DECISION-MAKING 2
} The issues must be classified as to importance and urgency.
} Assumptions and forecasts are made.
} Available resources are considered.
} Decision alternatives are generated and the best alternative is selected.
} The future impact of the decision is analyzed.
} Then istikhara is carried out before decision implementation.
} A bad decision should be changed sooner than later.
5.0 PRINCIPLES OF PROBLEM-SOLVING 1
} A problem exists if reality is different from the expected.
} Problems should be identified early in the lag time between cause and consequence
} Problems are challenges and opportunities that should be approached with an open mind and viewed as holistic.
} Problems are solved and not shifted around.
} It is better to leave a problem unsolved if the consequences of the 'best' solution are worse than the original problem.
} An optimal solution will produce maximum effect from minimum effort.
6.0 PRINCIPLES OF PROBLEM-SOLVING 2
} Cumulative experience cannot solve all problems.
} Fixed tested procedures solve routine and emergency problems but not creative new problems.
} Decision audit is educative.
} 'Best' is not synonymous with the simplest solution.
} Quality solutions can be arrived at by generating a lot of alternatives and selecting the best proving the rule that quality is from quantity.
7.0 IMPORTANT CONCEPTS ABOUT PROBLEM SOLVING
} realistic appraisal
} seeing problems as challenges and opportunities
} open mindedness
} toleration for alternatives
} the realization that 'different' is not 'wrong'
} encouraging 'strange' ideas
} combining and extending ideas
} creativity
} persistence.
8.0 STAGES OF RATIONAL SYSTEMATIC PROBLEM SOLVING 1
} analysis of the environment
} recognition of the problem
} identification of the problem
} determination of the ownership of the problem
} definition of the problem
} classification of the problem
} prioritizing the problem
9.0 STAGES OF RATIONAL SYSTEMATIC PROBLEM SOLVING 1
} collection of information
} making assumptions and forecasts
} generating decision alternatives
} pause during incubation period that leads to illumination
} selection of the best alternative
} analysis of the impact of the chosen alternative
} implementation, control of the implementation
} evaluation of the results.
10.0 BARRIERS TO EFFECTIVE PROBLEM SOLVING
} wrong concepts
} wrong attitudes
} wrong behaviors
} wrong questions
} wrong methods
11.0 OVERWHELMING PROBLEMS
} When you have an overwhelming problem, talk to someone who can listen.
} De-emotionalize the problem.
} Look at problem from wider perspective.
} Identify positives in the problem.
} Solve the problem systematically.
} Do not escape/avoid, do nothing, scream, self-anesthesia, or lament.
12.0 UNDERSTANDING A CRISIS
} A crisis is a situation of a major change with potential risk.
} A crisis, preventable and non preventable, is always waiting to happen.
} Crises are opportunities for creative problem solving.
} A crisis is a fluid, dynamic, and fast condition associated with fear and interferes with normal life.
13.0 STAGES OF A CRISIS
} prodroma
} acute crisis
} chronic crisis
} crisis resolution with ripple effects.
14.0 CRISES AND ORGANIZATIONAL EFFECTIVENESS
} Crisis management reveals organizational weaknesses and strengths.
} Strong organizations have mechanisms to forecast crises, contingency plans, and worked-out worst-case scenarios.
} Strong organizations can detect prodromal signs before a crisis.
15.0 CRISIS MANAGEMENT
} Crisis management involves reversing prodromal signs and intervention to deal with after-effects.
} The crisis intervention strategy includes identification of the crisis, isolation of the crisis and management of the crisis.
} Decision making in a crisis is stressful.