Nursing Clinical Decision Making and Participation with Physicians in Selective Wards in Educational Health Centers of Tabriz Medical University, 2009.

Abstract

Abstract: Background & Objectives: Clinical decision making a basic part of professional nursing, distinguishes between professional and non –professional nursing care. A nurses' decision have profound effects on coupe of treatment, which can lead to expected clarification and patients' satisfaction. Above all, such a decision making process can affect the quality of care, provide the analysis of patients' needs and as a result help adopt the best alternative for intervention. This study was conducted to determine the nurses' participation in clinical decision making process, and participation with physicians. Materials and Methods: Stratified random sampling was employed to carry out this descriptive analytic study. In which 285 nurses, working at medical surgical, ICU and CCU wards of Tabriz Medical Science University were participated. A demographic checklist as well as PDAQ and CPS used to collect data. The collected data were then analyzed using SPSS15. Results: The findings of the research showed that nurses' clinical decision making in three phases of decision making process: clarifying the problem (30.35±15.01), evaluating alternatives (29.23±14.64) and selecting alternatives (27.13±14.15) was in average condition. Nurses and physicians collaboration are in the middle range too (28.81±4.6). Conclusion and Discussions: According to research findings & considering clinical decision –making as a basic part of professional nursing, the educational system and professional organizations should provide the background for empowerment and development of decision –making skills among nurses. They should also determine obstacles and facilitate the nurses' independence in decision making process.