The Relationship among Nurse Managers’ Foresight Skills, Creativity, Proactivity, and DecisionMaking Abilities

Document Type : Original Article

Authors

1 Nursing administration department, faculty of nursing, Cairo University, Egypt.

2 Critical Care and Emergency Nursing, Faculty of Nursing, Kafr Elsheikh University

3 Nursing Administration, Faculty of Nursing, Damanhour University

Abstract

Background: Effective nursing leadership requires more than clinical expertise; it involves
strategic skills like foresight, creativity, proactivity, and sound decision-making. These competencies are
essential for navigating complex healthcare environments. Understanding their interrelationship can
enhance leadership effectiveness and patient outcomes. Aim: To explore the relationship among nurse
managers’ foresight skills, creativity, proactivity and their decision-making abilities. Research design: A
descriptive correlational research design. Sample: A convenient sample of 150 nurse managers who
agreed to participate in the research Tools: Demographic data sheet, foresight skills, proactivity,
creativity and decision making abilities questionnaires were used. Results: Among 150 nurse managers
(85.3% female), proactivity (86.4%) and foresight (81.1%) had the highest mean scores, while decisionmaking scored lowest. Creativity (β = 0.950, p = 0.007) and proactivity (β = 0.602, p = 0.011)
significantly predicted decision-making, while foresight was not a significant predictor (β = 0.063, p =
0.784). Conclusion: The study concludes that proactivity and creativity significantly predict effective
decision-making among nurse managers, while foresight skills show limited influence on immediate
decisions. Nurse Managers excel in analytical, logic-based decision-making, but show relative weakness
in areas related to procrastination and impulsiveness. Recommendations: Provide training to enhance
proactivity and creativity as key drivers of effective decision-making. Integrate foresight and futuresthinking into leadership development to support strategic planning and resilience.

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