Volume 27, Issue 88 (June 2014)
IJN 2014, 27(88): 66-76 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rostamniya L, Ghanbari V, Kazemnejad Leili E, Pasha A, Karimi Rozveh A, Pariyad E. Factors Associated with Nurses' Participation in Clinical Decision Making. IJN 2014; 27 (88) :66-76
URL: http://ijn.iums.ac.ir/article-1-1802-en.html
URL: http://ijn.iums.ac.ir/article-1-1802-en.html
1- Master degree, Nursing Dept., Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
2- Ph.D student of health in disaster and Emergency, Disaster & Emergency Health Dept., School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Ph.D of biostatistic, Biostatistic Dept., Faculty of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran.
4- Master degree, Public Health Nursing Dept., Faculty of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran
5- Master degree in nursing, Educational Supervisor in Dr Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
6- Master degree in nursing, Social determinance of Health Research Center(SDHRC), Medical Surgical nursing Dept., Faculty of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran. (٭Corresponding author). Tel:+98-9111358819 Email: e_ paryad@gums.ac.ir
2- Ph.D student of health in disaster and Emergency, Disaster & Emergency Health Dept., School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Ph.D of biostatistic, Biostatistic Dept., Faculty of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran.
4- Master degree, Public Health Nursing Dept., Faculty of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran
5- Master degree in nursing, Educational Supervisor in Dr Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
6- Master degree in nursing, Social determinance of Health Research Center(SDHRC), Medical Surgical nursing Dept., Faculty of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran. (٭Corresponding author). Tel:+98-9111358819 Email: e_ paryad@gums.ac.ir
Abstract: (7656 Views)
Abstract
Background & Aims: Collaboration of health care team in clinical dicision making is a key factor to provide safe and efficient care. Since nurses have the most continous contact with patients, they could have great influences on diagnostic and therapeutic decisions. The aim of this study was to determine nurses’ collaboration in clinical decision-makings and its related factors.
Material & Methods: This descriptive, cross-sectional study was conducted among nursing staff of educational hospitals of Rasht-Iran. A total of 193 nurses were selected by stratified random sampling. Data was collected by Decision-making Activities Questionnaire (PDAQ) and analyzed by descriptive and inferential statistics including pearson corrolation test, Independent T test, One-way ANOVA and Generalized Estimating Equations (GEE) using SPSS-PC (v. 16).
Results: The mean score of nurses' collaboration in clinical decision-makings in all three dimentions (clarifying the problem, suggesting and evalutiong possible methos and selecting from one of suggested ways) was more than 50. Moreover, the findings revealed that the participation score of those with master degree, intersted in continuing their job at current ward, worked in intensive care units or in morning shifts have been significantly higher than other nurses (P<0.05). There was also a significant relationship between nurses' decision-making scores, their age and work experinces (P<0.05). Level of education, and present job experiance had the most positive effect, and high job experince and having no responsibility in working place had the most negative effect on nurses' level of clinical participation (P=0.00).
Conclusion: Regarding the importance of nurses’ collaboration in decision making and the influence of higher leveles of education and working in ICU, providing appropriate context for more participation of nurses in decision making processes is suggested.
Type of Study: Research |
Subject:
nursing
Received: 2014/03/26 | Accepted: 2014/06/10 | Published: 2014/06/10
Received: 2014/03/26 | Accepted: 2014/06/10 | Published: 2014/06/10
References
1. Krairiksh M. The relationship among staff nurses' participation in decision making, nurse managers' leadership competencies, and nurse-physician collaboration: Case Western Reserve University; 2000.
2. Huang Y-C, Chen H-H, Yeh M-L, Chung Y-C. Case studies combined with or without concept maps improve critical thinking in hospital-based nurses: A randomized-controlled trial. Int J Nurs Stud. 2012;49(6):747-54. [DOI:10.1016/j.ijnurstu.2012.01.008] [PMID]
3. Feyzi Mahdi Bf. [The Effect Of Management Styles (Participative And Traditional) On Teacher's Creativity Of Kermanshah High Schools]. The Journal Of Modern Thoughts In Education. 2010.;5(17):95-111.
4. Dolan LA. Management style and staff nurse satisfaction. Dimens Crit Care Nurs. 2003;22(2):97. [DOI:10.1097/00003465-200303000-00010]
5. Kafami F, Mousavi S, Ghanbari V. [Survey the relationship between delegation and job satisfaction in nurses]. Journal of Health Promotion Management. 2012;1(2):29-34.
6. Arslanian-Engoren C, Hagerty B, Antonakos CL, Eagle KA. The feasibility and utility of the aid to cardiac triage intervention to improve nurses' cardiac triage decisions. Heart & Lung: The Journal of Acute and Critical Care. 2010;39(3):201-7. [DOI:10.1016/j.hrtlng.2009.08.004] [PMID]
7. Bucknall TK. Critical care nurses' decision‐making activities in the natural clinical setting. J Clin Nurs. 2000;9(1):25-36. [DOI:10.1046/j.1365-2702.2000.00333.x] [PMID]
8. Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JD, van Wijk KP. Interventions to improve team effectiveness: a systematic review. Health Policy. 2010;94(3):183-95. [DOI:10.1016/j.healthpol.2009.09.015] [PMID]
9. Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Social science & medicine. 2010;70(8):1148-54. [DOI:10.1016/j.socscimed.2009.12.025] [PMID]
10. Smith JR, Cole F. Patient safety: effective interdisciplinary teamwork through simulation and debriefing in the neonatal ICU. Crit Care Nurs Clin North Am. 2009;21(2):163-79. [DOI:10.1016/j.ccell.2009.01.006] [PMID]
11. Tschannen D, Kalisch BJ. The impact of nurse/physician collaboration on patient length of stay. J Nurs Manag. 2009;17(7):796-803. [DOI:10.1111/j.1365-2834.2008.00926.x] [PMID]
12. Hoffman K, Donoghue J, Duffield C. Decision‐making in clinical nursing: investigating contributing factors. J Adv Nurs. 2004;45(1):53-62. [DOI:10.1046/j.1365-2648.2003.02860.x] [PMID]
13. Mirsaeedi G, Lackdizagi S, Ghoojazadeh M. [Paper: Demographic Factors Involved In Nurses'clinical Decision Making]. Iran Journal of Nursing. 2011;24(72):29-36.
14. Hagbaghery MA, Salsali M, Ahmadi F. [The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study]. BMC Nursing. 2004;3(1):2. [DOI:10.1186/1472-6955-3-2] [PMID] [PMCID]
15. Sharif F, Jahanpour F, Salsali M, Kaveh M. [Paper: Clinical Decision Making Process In Last Year Nursing Students: A Qualitative Study]. Nursing Research. 2011;5(16):21-31.
16. Hojat M, Gonnella JS, Nasca TJ, Fields SK, Cicchetti A, Scalzo AL, et al. Comparisons of American, Israeli, Italian and Mexican physicians and nurses on the total and factor scores of the Jefferson scale of attitudes toward physician–nurse collaborative relationships. Int J Nurs Stud. 2003;40(4):427-35. [DOI:10.1016/S0020-7489(02)00108-6]
17. O'Brien-Palla L, Hiroz J, Cook A, Mildon B. Nurse-physician relationships: Solutions & recommendations for change: Nursing Health Services Research Unit; 2005.
18. Skela Savič B, Pagon M. Relationship between nurses and physicians in terms of organizational culture: who is responsible for subordination of nurses? Croat Med J. 2008;49(3):334-43. [DOI:10.3325/cmj.2008.3.334] [PMCID]
19. Yildirim A, Ates M, Akinci F, Ross T, Selimen D, Issever H, et al. Physician–nurse attitudes toward collaboration in Istanbul's public hospitals. Int J Nurs Stud. 2005;42(4):429-37. [DOI:10.1016/j.ijnurstu.2004.07.007] [PMID]
20. Anthony MK. The relationship of authority to decision‐making behavior: Implications for redesign. Research in nursing & health. 1999;22(5):388-98.
https://doi.org/10.1002/(SICI)1098-240X(199910)22:5<388::AID-NUR5>3.0.CO;2-B [DOI:10.1002/(SICI)1098-240X(199910)22:53.0.CO;2-B]
21. Lak Dizaji S, Mirsaeidi G, Ghoujazadeh M, Zamanzadeh V. [Nurses Participation in Clinnical Decision-Making Process]. Tabriz Nursing & Midwifery Journal. 2010;5(17):19-25.
22. Rafferty A, Ball J, Aiken L. Are teamwork and professional autonomy compatible, and do they result in improved hospital care? Qual Health Care. 2001;10(suppl 2):ii32-ii7. [DOI:10.1136/qhc.0100032]
23. Norozinejad F, Nooritager M, Jafar Jalal E, Hosseini F. [Investigating Participation of Head Nurses in Making Decisions and Their Satisfaction Level in Teaching Hospitals]. Iran Journal of Nursing. 2006;19(45):7-16.
24. Papathanassoglou ED, Tseroni M, Karydaki A, Vazaiou G, Kassikou J, Lavdaniti M. Practice and clinical decision‐making autonomy among Hellenic critical care nurses. J Nurs Manag. 2005;13(2):154-64. [DOI:10.1111/j.1365-2934.2004.00510.x] [PMID]
25. Hill TV. The relationship between critical thinking and decision-making in respiratory care students. Respiratory Care. 2002;47(5):571-7. [PMID]
26. Hazavehei Smm, Samadi A. [Effective Factors On Serving Motivation Of Hamadan Province Employees]. The Quarterly Journal Of Fundamentals Of Mental Health. 2005.26.
27. Moore-Smithson J. The Association Between Nurse Physician Collaboration and Satisfaction with the Decision-making Process in the Ambulatory Care Setting 2005.
28. Bakalis NA, Watson R. Nurses' decision-making in clinical practice. Nursing Standard. 2005;19(23):33-9.
https://doi.org/10.7748/ns2005.02.19.23.33.c3805 [DOI:10.7748/ns.19.23.33.s48] [PMID]
29. Sterchi LS. Perceptions that affect physician-nurse collaboration in the perioperative setting. AORN journal. 2007;86(1):45-57. [DOI:10.1016/j.aorn.2007.06.009] [PMID]
30. Hoffman K, Elwin C. The relationship between critical thinking and confidence in decision making. Aust J Adv Nurs The. 2004;22(1):8-12.
31. Sullivan EJ, Decker PJ. Effective Leadership and Management in Nursing. AJN Am J Nurs. 1998;98(6):16L. Friese CR, editor. Nurse practice environments and outcomes: implications for oncology nursing. Oncol Nurs Forum; 2005.
32. Gh M, Ashtiani F, Mehrabi H, Kh A. [Main Factors Dctcrminant Effccting on Job Satisfaction in Officcrs in a Military Unit]. MilMed Journal. 2006;8(1):69-77.
33. Abedi L, Mazruee H. [Individual factors affecting military forces job satisfaction]. MilMed Journal. 2010;12(1):45-9.
34. Rahimi A, Ahmadi F, Akhond M. [Evaluation of factors influencing occupational stress of nurses in some hospitals in Tehran]. Hayat. 2004;3(22):13-22.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
