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Nurses decision-making in clinical practice.

Nick A Bakalis1, Roger Watson

  • 1School of Nursing, ATEI Patras, Patra, Greece. nb1972@hotmail.com

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|March 9, 2005
PubMed
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Nurses in medical, surgical, and critical care regularly make patient care decisions. Critical care nurses more frequently make advanced decisions like changing patient medication, with experience influencing decision-making frequency.

Area of Science:

  • Nursing Practice
  • Clinical Decision-Making
  • Healthcare Management

Background:

  • Nurses' roles involve complex decision-making across various specialties.
  • Understanding these decisions is crucial for optimizing patient care and professional development.

Purpose of the Study:

  • To identify and compare the clinical decisions made by nurses in medical, surgical, and critical care settings.
  • To explore the relationship between clinical experience and decision-making frequency.

Main Methods:

  • A clinical decision-making questionnaire (CDMQ) with 15 statements was developed.
  • 60 nurses (20 from each specialty) completed the questionnaire.

Main Results:

  • Nurses in all specialties frequently made decisions regarding direct patient care and managing the work environment.

Related Experiment Videos

  • Critical care nurses more often made decisions related to extended roles, such as emergency interventions and medication changes, compared to medical and surgical nurses.
  • Clinical experience was significantly associated with the frequency of decision-making.
  • Conclusions:

    • The scope of nursing decisions is largely determined by the clinical area of practice.
    • Further research is needed to explore potential links between decision-making aptitudes and factors like personality, education, and overall nursing experience.