Nurses' perception of clinical decision making in hospitals of Shahrekord University of Medical Sciences in 2019

Background and aim: The most important factor affecting the quality of care is the ability of nurses to make effective clinical decisions. Since identifying nurses 'perceptions of clinical decision making is an important step in improving the quality of care, this study done to determine nurses' perceptions of clinical decision making in hospitals of Shahrekord University of Medical Sciences. Methods: The study was a descriptive research. The study population consisted of clinical nurses working in Ayatollah Kashani and Hajar hospitals in Shahrekord and Seyed al-Shohada in Farsan. 300 nurses were selected through quota random sampling. Data were collected using demographic information questionnaire and Persian version of Clinical Decision Making in Nursing Scale (CDMNS). Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (Mann-Whitney and Kruskal-Wallis) and SPSS (V 21). Results: The mean score of nurses' perception of clinical decision making was 119.11±13.53which was high. The mean decision scores on subscales A, B, C and D were (29.15± 3.38), (33.76 ± 3.50), (25.9 ± 4.1) and (29.30±4.2) which was lower in the subscale of search for information and unbiased assimilation of new information. The results also showed that age, background and unit were significantly correlated with scores of perception of decision making (P<0.05).With increasing in age and background, perception of decision making decreased. And perception of decision making in cardiac unit was more than other units. Conclusion:Since nurses’ perception in “Search for information and unbiased assimilation of new information” subscale in experienced nurses is low, Therefore, planning should be made to increase the ability of experienced nurses to search for new information. Keywords: Clinical decision making, Nurse,Perception