Background & Aims: Collaboration of health care team in clinical dicision making is a key factor to provide safe and efficient care. Since nurses have the most continous contact with patients, they could have great influences on diagnostic and therapeutic decisions. The aim of this study was to determine nurses' collaboration in clinical decision-makings and its related factors. Material & Methods: This descriptive, cross-sectional study was conducted among nursing staff of educational hospitals of Rasht-Iran. A total of 193 nurses were selected by stratified random sampling. Data was collected by Decision-making Activities Questionnaire (PDAQ) and analyzed by descriptive and inferential statistics including pearson corrolation test, Independent T test, One-way ANOVA and Generalized Estimating Equations (GEE) using SPSS-PC (v. 16). Results: The mean score of nurses' collaboration in clinical decision-makings in all three dimentions (clarifying the problem, suggesting and evalutiong possible methos and selecting from one of suggested ways) was more than 50. Moreover, the findings revealed that the participation score of those with master degree, intersted in continuing their job at current ward, worked in intensive care units or in morning shifts have been significantly higher than other nurses (P<0.05). There was also a significant relationship between nurses' decision-making scores, their age and work experinces (P<0.05). Level of education, and present job experiance had the most positive effect, and high job experince and having no responsibility in working place had the most negative effect on nurses' level of clinical participation(P=0.00). Conclusion: Regarding the importance of nurses' collaboration in decision making and the influence of higher leveles of education and working in ICU, providing appropriate context for more participation of nurses in decision making processes is suggested.
Background: Disaster response is an emergency nursing responsibility. Responding to disasters, however, is hazardous as terrorism, pandemics and chemical industrial accidents challenge the safety of nurses and their families. International experience has shown that nurses can become victims of disasters and that fear of contaminating family and friends may prevent nurses from attending work or returning home during a disaster response. An understanding of the factors that enable or disable their disaster preparedness will underpin future disaster policy and planning for Australian and international health care organizations. Methods: This study examines the willingness of Australian emergency nurses to attend work to respond to a health care disaster, using a 3-phase mixed-method design. Phase 1 was a national online survey, with 451 responses. Phase 2 involved 6 focus groups at 4 hospital sites, with 41 participants and Phase 3 involved in-depth interviews with emergency nurses at different sites, with 11 participants. This presentation will highlight results from the study on the willingness of Australian emergency nurses to respond to a health care disaster. Results: Preliminary findings indicate that emergency nurses' willingness to respond to health care disasters was dependent on a number of factors, including their out-of-work responsibilities, the changes to their roles and responsibilities at work, their confidence in management and their work team, the information they are given about the disaster, the type of disaster and the degree of risk involved. Conclusions:The contribution the findings this study will make to disaster planning and preparedness for nursing staff, health planners and administrators will be outlined.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.