Volume 18, Issue 10 (January 2021)                   Nursing and Midwifery Journal 2021, 18(10): 759-765 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ghodsiastan P, Alilou L, Hemmati M, Rasouli J. Evaluation of clinical decision models of hemodialysis nurses in Urmia in 2020-2021. Nursing and Midwifery Journal 2021; 18 (10) :759-765
URL: http://unmf.umsu.ac.ir/article-1-4097-en.html
1- MSc, Urmia University of Medical Sciences, Urmia, Iran
2- Assistant Professor of Nursing, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
3- Associate Professor of Nursing, Urmia University of Medical Sciences, Urmia, Iran
4- Assistant Professor of Biostatistics, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (2908 Views)
Background & Aims: Nurses are the largest group of health care providers and their decisions play a very important role in the clinical fate of patients. Due to the importance of nurses' decisions, this study was conducted to investigate the clinical decision-making ability of hemodialysis nurses in Urmia hospitals. Materials & Methods: The present study is a descriptive cross-sectional study performed on 60 nurses working in hemodialysis wards of hospitals affiliated with the Urmia University Medical Sciences. The samples were selected by counting. Data were collected from the Demographic Information Questionnaire and the Lauri and Salantra Clinical Decision Questionnaire. Data were analyzed using SPSS-17 software and descriptive and inferential tests. Results: The average score of nurses' overall clinical decision-making was 8.62 ±93.53, of which 57.5% of nurses had intuitive decisions, 22.5% had analytical-intuitive decisions, and 20% had analytical decisions. Conclusions: The research findings showed that with increasing age and clinical history, nurses' decision-making progresses towards analytical decision-making, while younger and less experienced nurse's benefit more from intuitive decision-making.
Full-Text [PDF 460 kb]   (1032 Downloads)    
Type of Study: Qualitative | Subject: پرستاری

References
1. Elahi N, Alhani F, Ahmadi F. Challenges to effective teaching, reflection on experience, and perceived nursing: a content analysis. Journal of Qualitative Research in Health Sciences 2012;1(3):229-39. (Persian) [URL]
2. Johansen ML, O'Brien JL. Decision making in nursing practice: A concept analysis. Nurs Forum 2016;51:40-8. [DOI:10.1111/nuf.12119] [PMID]
3. Nibbelink CW, Brewer BB. Decision-making in nursing practice: An integrative literature review. J Clin Nurs 2018;27:917-28. [DOI:10.1111/jocn.14151] [PMID] [PMCID]
4. Gillespie M. Using situated clinical decision-making framework to guide analysis of nurses' decision-making. Nurse Educ Pract 2010;10:333-4. [DOI:10.1016/j.nepr.2010.02.003] [PMID]
5. Manetti W. Sound clinical judgment in nursing: A concept analysis. Nurs Forum 2019;54:102-10. 6. Thompson C, Stapley S. Do educational interventions improve nurses' clinical decision making and judgement? A systematic review. Int J Nurs Stud 2011;48(7):881-93. [DOI:10.1016/j.ijnurstu.2010.12.005] [PMID]
6. Tanner CA. Thinking like a nurse: A research-based model of clinical judgment in nursing. J Nurs Educ 2006;45:204-11. 8. Abdi A, Assadi P, Mohammadyari T, Miri J. General decision-making style and clinical competence of nurses working in the educational hospitals affiliated to Kermanshah University of Medical Sciences in 2014. J Nurs Educ 2014;4:19-29. [DOI:10.3928/01484834-20060601-04] [PMID]
7. Heyhoe J, Birks Y, Harrison R, O'Hara JK, Cracknell A, Lawton R. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med 2016;109:52-8. [DOI:10.1177/0141076815620614] [PMID] [PMCID]
8. Lauri S, Salantra S. Developing an instrument to measure and describe clinical decision making in different nursing field. J Prof Nurs 2002; 18(2): 93-100. [DOI:10.1053/jpnu.2002.32344] [PMID]
9. Tower M, Chaboyer W, Green Q, Dyer K, Wallis M. Registered nurses' decision-making regarding documentation in patients' progress notes. J Clin Nurs 2012;21:2917-29. 12. Parker CG. Decision-making models used by medical-surgical nurses to activate rapid response teams. Medsurg Nurs 2014;23:159-64. [DOI:10.1111/j.1365-2702.2012.04135.x] [PMID]
10. Alexander G, Hopcraft MS, Tyas MJ, Wong RH. Dentists' restorative decision-making and implications for an 'amalgamless' profession. Part 2: a qualitative study. Aust Dent J 2014;59(4):420-31. [DOI:10.1111/adj.12212] [PMID]
11. Nafea AR, Lakdizaji S, Oshvandi Kh, Fathi Azar E, Ghojazadeh M. Nursing Student's Critical Thinking Skills in Tabriz Nursing and Midwifery Faculty. Research J Biol Sci 2008;3(5):475-9. [Google Scholar]
12. Thompson C, Stapley S. Do educational interventions improve nurses clinical decision making and judgment? A systematic review. Int J Nurs Stud 2011; 48: 881-93. [DOI:10.1016/j.ijnurstu.2010.12.005] [PMID]
13. Sharifiyana M, Zohari S, Dabirian A, Alavi H. Evaluation of participation in clinical decision making by nurses in selected hospitals of shahid beheshti university of medical sciences. Nurs Midwifery J2016; 13 (11):928-34. [Google Scholar]
14. Odell E, Barta K. Teaching evidence-based practice: the Bachelor of Science in nursing essentials at work at the bedside. J Prof Nurs 2011; 27(6): 370-7. [DOI:10.1016/j.profnurs.2011.04.007] [PMID]
15. Parker CG. Decision-making models used by medical-surgical nurses to activate rapid response teams. Medsurg Nurs 2014; 23(3): 159-64. [Google Scholar]
16. Nouhi E, Abdollahyar A, Fasihi HArandi T. Effect of evidence-based Nursing education in nurses' clinical making. J Educ Ethics Nurs 2014;2(4):43-9. [URL]
17. Javadi N, Paryad A, Fadakar K, Roshan Z, Asiri Sh.Clinical decision making: its relation with critical thinking. J Guilan Univ Med Sci 2008; 18(60): 9-16. )Persian) [URL]
18. Moghaddam E, Manzari Z, Ghandehari Motlagh Z. The Evaluation of Nurse's Clinical Decision Making in Intensive Care Unit at the Teaching Hospitals of Mashhad. J Sabzevar Univ Med Sci 2019;2(24):107-13. (Persian) [URL]
19. Rostamniya L, Ghanbari V, Kazemnejad Leili E, Pasha A, Karimi Rozveh A, Pariyad E. Factors Associated with Nurses' Participation in Clinical Decision Making. Iran J Nurs 2014; 27 (88):66-76. [DOI:10.29252/ijn.27.88.66]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb