Ministry of Health, Nablus, Palestine.
Arab American University, Palestine.
Inquiry. 2023 Jan-Dec;60:469580231152080. doi: 10.1177/00469580231152080.
In an emergency, making the correct decision is vital. It is a necessary element of professional nursing care, and the ability of nurses to make successful clinical decisions is the most critical element influencing care quality. The purpose of this study was to assess the factors influencing nurses' clinical decision-making in the emergency department of Palestinan hospitals. A cross-sectional study was targeted at all nurses working in emergency departments at the Palestinian hospitals. The study was completed with 227 nurses, and collecting data was performed with the Clinical Decision Making in Nursing Scale. Results of the study revealed that the average score for the total clinical decision-making score was 3.3 (SD = 0.23). The subscales of clinical decision making were "search for alternatives or options," "canvassing of objectives and values," "evaluation and reevaluation of consequences," and "search for information and unbiased assimilation of new information." Furthermore, multiple linear regression analysis revealed that degree and work hours accounted for 11.7% of the variance in clinical decision-making. The study confirmed the average score for clinical decision-making was slightly higher than the average score. Also, it approved that nursing degree and work hours were predictors of clinical decision-making among nurses in emergency departments.
在紧急情况下，做出正确的决策至关重要。这是专业护理的必要组成部分，护士成功做出临床决策的能力是影响护理质量的最关键因素。本研究旨在评估影响巴勒斯坦医院急诊科护士临床决策的因素。一项横断面研究针对的是在巴勒斯坦医院急诊科工作的所有护士。研究共完成了 227 名护士，使用护理临床决策量表收集数据。研究结果显示，总临床决策评分的平均得分为 3.3（SD=0.23）。临床决策的子量表分别是“寻找替代方案或选项”、“调查目标和价值观”、“评估和重新评估后果”和“搜索信息和客观吸收新信息”。此外，多元线性回归分析显示，学历和工作时间占临床决策变异性的 11.7%。该研究证实，临床决策的平均得分略高于平均得分。此外，研究还证实，护理学历和工作时间是急诊科护士临床决策的预测因素。
