Clinical decision making approaches and associated factors among nurses working in a tertiary teaching hospital

Abate, Hailemichael Kindie; Yohanes, Yeneabat Birhanu; Gebrie, Mignote Hailu

doi:10.1016/j.ijans.2022.100432

Cited by 8 publications

(5 citation statements)

References 24 publications

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“…Consistent with the findings of Kosicka et al [ 24 ], this study’s findings revealed that most participants exhibited flexibility in their CDM. In contrast to the results of Abate et al [ 23 ], the surveys in this study indicated that 55.7% of nurses used analytical decision-making, whereas 44.3% used intuitive decision-making. Moreover, a study conducted in Saudi Arabia [ 25 ] found that most participants were intuitive in their CDM.…”

Section: Discussioncontrasting

confidence: 99%

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The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

Al-shomrani,

Hamouda,

Abdullah

2024

Cureus

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Background The Saudi Arabian government has published its 2030 vision for improving health care to meet worldwide standards for the nursing profession. To fulfill this vision, building large-scale healthcare facilities is necessary. Among the most common occupations, nursing is vital to health care systems. Although working in health care institutions is challenging, demanding, and comprehensive, they are created to save lives and enhance patient satisfaction. Therefore, health care organizations must seek to develop psychologically empowered and decision-making nurses who can help meet clients’ demands and enhance patient care, safety, quality, and outcomes. This study aims to determine the association between psychological empowerment (PE) and clinical decision-making (CDM) among staff nurses. Methods This study employed a quantitative cross-sectional correlation design. Three Saudi Ministry of Health-affiliated hospitals in the Al-Baha region were included. The sample size was calculated using the Raosoft online sample size calculator, with a total of 318 participants. The study sample included nurses working in inpatient, outpatient, and critical care departments. Convenience sampling techniques with inclusion and exclusion criteria were employed. An online survey with three sections was used for data collection: sociodemographic characteristics, the psychological empowerment instrument, and the nursing decision-making instrument. Data collection began at the beginning of February 2023 and was completed by the beginning of April 2023. Results The participants were 318 nurses working in critical areas, inpatient, and outpatient departments at three governmental hospitals in the Al-Baha region. Overall, 285 participants (89.6%) had a high level of PE, and the majority, 263 participants (82.7%), exhibited flexible-oriented decision-making. Approximately three-quarters of the sample, 281 participants (88.4%), were female, and more than half of the staff nurses, 187 participants (58.8%), were married. The majority of participants, 250 (78.6%), had a bachelor's degree. Regarding professional experience, most staff nurses, 134 participants (42.1%), had between one and five years of experience, and the majority worked in inpatient units, 160 participants (50.3%), while 104 (32.7%) worked in critical care. Conclusion The current study found a significant association between nurses’ PE and CDM. Nurses with the highest PE were the most flexible in their CDM. Moreover, the findings of this study offer some points that nurse managers and leaders can use to generate empowerment and make their staff better decision-makers. One recommendation is to develop training and coaching programs to enhance PE among staff nurses, thereby raising their work meaningfulness, which would reflect in better CDM. Additionally, this study recommends that future research be conducted to examine how PE affects CDM.

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Section: Discussioncontrasting

confidence: 99%

“…The analytical approach consists of logical reasoning that is systematic and requires a review of all the data obtained thus far. According to the intuitive interpretive model, experts make decisions based on intuitive principles [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

Al-shomrani,

Hamouda,

Abdullah

2024

Cureus

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“…One of the most important factors affecting patient care outcomes positively and providing quality care service is having the ability to make correct and timely decisions (Al-Dossary et al , 2014; Avci and Baser, 2019; Bender et al , 2019; Samuel et al , 2018). Clinical decision-making is a continuous process in which data is collected, interpreted and evaluated for appropriate action for the correct use of up-to-date information (Abate et al , 2022). It is an important skill in professional nursing practice and a key competence for the nurse's quality care delivery and clinical success.…”

Section: Introductionmentioning

confidence: 99%

Turkish nurses' leadership orientations and clinical decision-making skills

Gürsoy

Sağlam²,

Başaran

et al. 2023

LHS

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Purpose The purpose of this study was to determine the relationship between the leadership orientations of nurses and their clinical decision-making skills. Design/methodology/approach This descriptive study was conducted between June and December 2018 on nurses working at three hospitals in Turkey. This study was completed with 1,100 nurses. The Personal Information Form, Leadership Orientation Scale and Clinical Decision-Making Scale in Nursing were used for data collection. Findings A significant correlation was found between the leadership orientations of nurses and age, sex, institution where they were employed, time spent in the profession, being in a management position and satisfaction with the current unit of employment (p < 0.05), and a significant correlation was found between clinical decision-making skills of nurses and age, sex and occupational status (p < 0.05). Furthermore, a significant correlation was found between the mean scores of the Leadership Orientation Scale and Clinical Decision-Making in Nursing Scale (p < 0.05). Originality/value The development of leadership orientations of nurses positively affects their clinical decision-making skills. In this respect, it is important to instill effective leadership orientations in nurses and to incorporate novel training methods in nursing education to develop accurate and timely clinical decision-making skills.

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“…Participation in decisionmaking is defined as a complex process that involves a number of decisions, taking actions to achieve desired outcomes and connecting intensive care nurses. (9) Responsibility is described as the amount of dedication and safe care delivery that is in line with the best available research and clinical standards, as well as the overall organizational and system quality that nurses bring to a task or position. (10) Empowered nurses play an active role in solving problems in their work environments.…”

Section: Introductionmentioning

confidence: 99%

Relation between Level of Empowerment and Problem-Solving Abilities of Nurses at Intensive Care Units

Hassan

Sayed

Eid

2023

Tanta Scientific Nursing Journal

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Clinical decision making approaches and associated factors among nurses working in a tertiary teaching hospital

Cited by 8 publications

References 24 publications

The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

Turkish nurses' leadership orientations and clinical decision-making skills

Relation between Level of Empowerment and Problem-Solving Abilities of Nurses at Intensive Care Units

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