The Factors Influencing Nurses' Clinical Decision- Making in emergency department: Nursing perspective رسالة ماجستير

Abstract

Introduction: In an emergency, making the correct decision is vital. It is a necessary element of professional nursing care, and the ability of nurses to make successful clinical decisions is the most critical element influencing care quality. The elements influencing nurses' decision-making are divided into four categories; Characteristics of nurses, organizational variables, patient characteristics, and environmental factors Nursing experience, clinical expertise, nurses' demographic parameters, autonomy, and individual attitudes toward patient care were identified as characteristics of nurses. The purpose of this study was to assess the factors influencing Nurses' Clinical Decision- Making in the emergency department of West Bank hospitals in Palestine. Methodology: A cross-sectional study was targeted all nurses working in emergency departments at the government hospitals in the West Bank, Palestine. The study was conducted on 227 nurses and collecting data was performed with Clinical Decision Making in Nursing Scale. Results: Results of the study revealed that the average score for the total clinical decisionmaking score was 3.3(SD=0.23). Results from linear regression analysis found that nursing degree and work hours accounted for 11.7% of the clinical decision-making variance. vi Conclusions: The study confirmed the average score for clinical decision-making was slightly higher than the average score. Also, it approved that nursing degree and work hours were predictors of clinical decision-making among nurses in emergency departments.