Maternal and child patient safety: a multiple criteria analysis of the decisionmaking preferences of nurse managers

Abstract Objectives: to establish the decision preferences of nurse managers with emphasis on maternal-child patient safety, in order to understand how to prioritize actions and investments in the application of nursing assignments should be given. Methods: a quantitative research with convenience sampling and a MCDA methodology (Multiple Criteria Decision Analysis) was operationalized by the PROMETHEE algorithm (Preference Ranking Organization Method for Enrichment Evaluations) through the use of a graphical preference capture tool and sensitivity analysis to ensure the robustness of the model. A consolidation of the criteria was carried out by means of the dimensions: reception, classification, assistance, orientation, team integration and administrative services, defined by criteria similarity and calculated by means of weighted preference indexes. Results: a greater decision preference or relative importance was attributed to the professional category Obstetric Nurses (46.47%), which stood out with the highest preferences in three dimensions: Integration (22.74%), Assistance (13.37%) and Administrative Aspects (10.36%). The dimensions not directly involved with the patient (Team Integration and Administrative Aspects), altogether had a high decision-making preference or relative weight (47.96%). Conclusions: the model of decision-making preferences furnished innovative contributions in regard to the priority established on actions and investments to create greater safety for maternal and child patients.

摘要 研究目的：明确以母婴患者安全为核心的护理管理者决策偏好，以明晰护理排班实施中行动与资源投入的优先级分配逻辑。
研究方法：本研究采用定量研究设计，结合便利抽样法，并运用多准则决策分析（Multiple Criteria Decision Analysis, MCDA）方法论，通过图形化偏好获取工具与敏感性分析构建PROMETHEE算法（富集评估偏好排序组织法，Preference Ranking Organization Method for Enrichment Evaluations）模型，以保障模型稳健性。研究通过准则相似性完成评估维度整合，划定接纳、分类、照护、指导、团队整合与行政服务六大维度，并采用加权偏好指数开展计算。
研究结果：产科护士（Obstetric Nurses）这一职业类别获得了最高的决策偏好占比（46.47%），其在团队整合（22.74%）、照护（13.37%）与行政事务（10.36%）三大维度中均展现出最高偏好。未直接涉及患者照护的维度（团队整合与行政事务）整体获得了较高的决策偏好权重（47.96%）。
研究结论：本研究构建的决策偏好模型，可为母婴患者安全相关行动与资源投入的优先级制定提供创新性参考，助力提升母婴患者的安全保障水平。