The Influence of Self Concept on Clinical Decision Making Among Nurses in the West Bank Governmental Hospital رسالة ماجستير

Abstract

Clinical decision-making is one of the processes associated with personal characteristics such as the year of present job or experience, further education, sex, the age of the participant, and the working unit of the nurses. Self-concepts are the totality of a complex, organized, and yet dynamic system of learned attitudes, beliefs, and evaluative judgments that people hold about themselves. Purpose To determine the influence of self-concept on nurses' clinical decision – making in Palestinian hospital Methods This was a cross-sectional study that took place between 5 may to 7 July 2024 among Nurses in West Bank's Governmental Hospitals. A total of 371 from intensive care units, medical, surgical and ER nurses was taken by cross sectional study in West Bank's Governmental Hospitals. The data collection done by using self concept scale and clinical decision making scale . Results The results revealed that male, head nurse, with more experience and working only in days shifts is statistically significant associated with nursing self-concepts (P-value <0.05). Being a head nurse, with more experience and working only in days shifts is statistically significant associated with nursing clinical decision-making as indicated by higher average of clinical decision-making score (P-value <0.05). Study results show significant positive association between all nursing self-concepts (Geneal self-concept, nursing care, staff relations, communication, knowledge and leadership) and clinical decision-making (P-value <0.05). Conclusion The study highlighted an importance factor influencing nursing self-concept and clinical decision making and their relation to each other which is worth considering as a target for improving the individual nurse competency about the health care and then improving the health care system to maximize patient satisfaction with the less harm to them possible.