Decision-Making Experiences of Nurse Managers Handling Multicultural Staff in Tertiary Hospitals: A Qualitative Inquiry

Cultural diversity in healthcare presents challenges for nurse managers, particularly when leading multicultural teams. This study explored the decision-making experiences of nurse managers working with multicultural staff in tertiary hospitals. A qualitative approach was used, with data collected through semi-structured interviews and analyzed using thematic analysis. Findings showed that nurse managers rely on cultural awareness, effective communication, fairness, and flexible leadership when making decisions. Common challenges included communication barriers, cultural differences, and organizational constraints. The study highlights the importance of cultural competence, leadership development, and organizational support in improving decision-making, team performance, and patient care in multicultural healthcare settings.