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A qualitative analysis of the satisfaction of nurses with clinical decision making, the nature of the decision making, nurses' involvement in the process and factors that injuence decision-making behavior is presented. The data were obtainedfrom interviews conducted with physicians and nurses as a part of a study of nurse turnover and vacanGy in hospitals. Staff nurse involvement in decision making is described as being interdependent; nurses reported general satisfaction with their involvement, while physicians generally resisted the decision-making discretion of nurses. Nurses on specialized and critical care units were more satisjed than were nurses who worked on general medicalsurgical units. Trust and control were central issues. Implications for considering what knowledge, skill and decisional authority are needed for patient care are discussed.

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The American Nurses Association (ANA) Cabinet on Nursing Practice mandated the formation of the Steering Committee on Databases to Support Clinical Nursing Practice. The Committee has established the process and the criteria by which to review and recommend nursing classification schemes based on the ANA Nursing Process Standards and elements contained in the Nursing Minimum Data Set (NMDS) for inclusion of nursing data elements in national databases. Four classification schemes have been recognized by the Committee for use in national databases. These classification schemes have been forwarded to the National Library of Medicine (NLM) for inclusion in the Unified Medical Language System (UMLS) and to the International Council of Nurses for the development of a proposed International Classification of Nursing Practice.

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