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The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study.

Hagbaghery MA, Salsali M, Ahmadi F - BMC Nurs (2004)

Bottom Line: From the participants' points of view, "feeling competent", "being self-confident", "organizational structure", "nursing education", and "being supported" were considered as important factors in effective clinical decision-making.Also external factors such as organizational structure, access to supportive resources and nursing education have strengthening or inhibiting effects on the nurses' decisions.They are responsible for identifying barriers and enhancing factors within the organizational structure that facilitate nurses' clinical decision-making.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tohid Square, Tehran, Iran. adib1344@yahoo.com

ABSTRACT
BACKGROUND: Nurses' practice takes place in a context of ongoing advances in research and technology. The dynamic and uncertain nature of health care environment requires nurses to be competent decision-makers in order to respond to clients' needs. Recently, the public and the government have criticized Iranian nurses because of poor quality of patient care. However nurses' views and experiences on factors that affect their clinical function and clinical decision-making have rarely been studied. METHODS: Grounded theory methodology was used to analyze the participants' lived experiences and their viewpoints regarding the factors affecting their clinical function and clinical decision-making. Semi-structured interviews and participant observation methods were used to gather the data. Thirty-eight participants were interviewed and twelve sessions of observation were carried out. Constant comparative analysis method was used to analyze the data. RESULTS: Five main themes emerged from the data. From the participants' points of view, "feeling competent", "being self-confident", "organizational structure", "nursing education", and "being supported" were considered as important factors in effective clinical decision-making. CONCLUSION: As participants in this research implied, being competent and self-confident are the most important personal factors influencing nurses clinical decision-making. Also external factors such as organizational structure, access to supportive resources and nursing education have strengthening or inhibiting effects on the nurses' decisions. Individual nurses, professional associations, schools of nursing, nurse educators, organizations that employ nurses and government all have responsibility for developing and finding strategies that facilitate nurses' effective clinical decision-making. They are responsible for identifying barriers and enhancing factors within the organizational structure that facilitate nurses' clinical decision-making.

No MeSH data available.


Related in: MedlinePlus

Interactive relationships between variables affecting effective clinical decision-making
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Related In: Results  -  Collection


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Figure 1: Interactive relationships between variables affecting effective clinical decision-making

Mentions: The findings of the current study indicate that clinical decision-making is a basic social process involving some individual and environmental variables. Precise review of these variables as well as findings and data obtained during the analysis stages of this study suggest the existence of interactive relations among the variables. These interactions are presented in Figure 1. As this model has shown, although feeling competent is important, self-confidence is a basic requisite for making effective clinical decisions. Organizational structure, supportive or unsupportive management and nursing education also have facilitating or inhibiting effects in this process.


The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study.

Hagbaghery MA, Salsali M, Ahmadi F - BMC Nurs (2004)

Interactive relationships between variables affecting effective clinical decision-making
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC411049&req=5

Figure 1: Interactive relationships between variables affecting effective clinical decision-making
Mentions: The findings of the current study indicate that clinical decision-making is a basic social process involving some individual and environmental variables. Precise review of these variables as well as findings and data obtained during the analysis stages of this study suggest the existence of interactive relations among the variables. These interactions are presented in Figure 1. As this model has shown, although feeling competent is important, self-confidence is a basic requisite for making effective clinical decisions. Organizational structure, supportive or unsupportive management and nursing education also have facilitating or inhibiting effects in this process.

Bottom Line: From the participants' points of view, "feeling competent", "being self-confident", "organizational structure", "nursing education", and "being supported" were considered as important factors in effective clinical decision-making.Also external factors such as organizational structure, access to supportive resources and nursing education have strengthening or inhibiting effects on the nurses' decisions.They are responsible for identifying barriers and enhancing factors within the organizational structure that facilitate nurses' clinical decision-making.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tohid Square, Tehran, Iran. adib1344@yahoo.com

ABSTRACT
BACKGROUND: Nurses' practice takes place in a context of ongoing advances in research and technology. The dynamic and uncertain nature of health care environment requires nurses to be competent decision-makers in order to respond to clients' needs. Recently, the public and the government have criticized Iranian nurses because of poor quality of patient care. However nurses' views and experiences on factors that affect their clinical function and clinical decision-making have rarely been studied. METHODS: Grounded theory methodology was used to analyze the participants' lived experiences and their viewpoints regarding the factors affecting their clinical function and clinical decision-making. Semi-structured interviews and participant observation methods were used to gather the data. Thirty-eight participants were interviewed and twelve sessions of observation were carried out. Constant comparative analysis method was used to analyze the data. RESULTS: Five main themes emerged from the data. From the participants' points of view, "feeling competent", "being self-confident", "organizational structure", "nursing education", and "being supported" were considered as important factors in effective clinical decision-making. CONCLUSION: As participants in this research implied, being competent and self-confident are the most important personal factors influencing nurses clinical decision-making. Also external factors such as organizational structure, access to supportive resources and nursing education have strengthening or inhibiting effects on the nurses' decisions. Individual nurses, professional associations, schools of nursing, nurse educators, organizations that employ nurses and government all have responsibility for developing and finding strategies that facilitate nurses' effective clinical decision-making. They are responsible for identifying barriers and enhancing factors within the organizational structure that facilitate nurses' clinical decision-making.

No MeSH data available.


Related in: MedlinePlus