Assessment of Clinical Decision Making Among Nurses Working in Hospitals of Addis Ababa, Ethiopia, 2017

Fikirte Negash
- Decision making at clinical level is the way in which nurses perceived to arrive at appropriate decisions in practical nursing situations. And these decisions have a direct impact on the health status of the patients, poor clinical reasoning skill leads to increasing numbers of adverse patient outcomes. Nurses are required to make decisions with multiple foci for example, diagnosis, intervention, interaction and evaluation in dynamic contexts, using a diverse knowledge base decisional
more » ... However, inability to recognize clinical situation is the major cause of errors in decisions. Objectives: - To assess nurse's clinical decision making approach in hospital settings, Addis Ababa, Ethiopia, 2017. Methods: - Institution based cross-sectional descriptive study was conducted on 390 nurses. To determine the sample size a single proportional formula was used. Self-administered English version questionnaire (theoretical framework developing instrument by Lauri and Sanna Salanterä, included Hammond's CCT) was used. The instrument used to investigate nurses' clinical decision making patterns at clinical practice level. To explain study population in relation to relevant variables, descriptive statistics like: frequencies and percentages were calculated. Multi nominal logistic regression was used to show the association between CDM and associated factors among nurses. Permission was obtained from IRB. Information obtained from participants was kept secured and confidential. Result: Clinical decision making score in this study ranges from 46 to 82 (mean = 65.5, SD = 4.5). Two hundred sixty two (67.2%) of the participant scored in analytical decision making category. One hundred twenty five of respondents (32.1%) scored in the category of quasi decision making which is a combination of both analytic and intuitive decision making process. Out of the total 390 respondents only three (0.8%) of them categorized as using intuitive decision making method when dealing with patient. Organizational type/private sec [...]
doi:10.20372/nadre/11106 fatcat:oazj4zmunbhxhlyaz4x2fw7pzq