Collaborative Shift-Scheduling and Perceived Procedural Justice as Predictors of Clinical Decision-Making in Managed Care Practice among Selected Samples of Health Workers in the Federal Capital Territory (FCT), Abuja, Nigeria

Dennis Uba Donald, Ugwu Callistus Chinwuba, Owoseni S. Kayode


This study examined the roles of collaborative shiftwork schedule and procedural justice as predictors of clinical decision-making in managed care practice among a selected sample of health workers in Abuja, Nigeria. The study was survey design conducted among 197 healthcare workers were selected using convenient sample from public and private healthcare institutions in Abuja. The Bergen Shift Work Sleep Questionnaire (BSWSQ) developed by Flo et al. (2012) was used to assess shiftwork collaborative scheduling. Procedural justice was measured using the Procedural Justice Scale (OJS) developed by Niehoff and Moorman (1993). While The Clinical Decision-Making Survey (CDMS) developed by Ferrell et al. (1991) was used to measure clinical decision-making. The result revealed that shiftwork did show significant relationship with clinical decision-making among psychiatric nurses [r (197) = .451, p <. 01]. Results from the multiple regression showed that procedural justice significantly predicted clinical decision-making among healthcare workers [? = .331, p <0.01]. The result of this study suggest that healthcare workers who engage in shift-schedule with a high perception of procedural justice have higher propensity to provide enhanced clinical decision-making at the workplace. The Nigerian healthcare reforms and policies should be reviewed, specifying issues relating to collaborative shiftwork for healthcare workers.

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