جستجوی مقالات مرتبط با کلیدواژه « تصمیم گیری بالینی پرستاران » در نشریات گروه « پزشکی »

 Nurses should be able to make accurate and appropriate clinical judgments about the health status of patients by combining their technical skills and professional knowledge. This study was conducted to determine the relationship between emotional intelligence and critical thinking style in clinical decision-making with the mediation of self-efficacy beliefs and self-confidence in the nursing staff of Rasht hospitals.

 This descriptive-correlational study was conducted using the structural equation model with the participation of 364 nurses of Intensive care units in Rasht hospitals. The sampling method was random cluster sampling. Data was collected using questionnaires including nurses' clinical decision making, emotional intelligence, self-efficacy in clinical practice, critical thinking style, and self-confidence. The structural equation modeling method used for data analysis by AMOS-22 software.

 Findings were the total path coefficient (sum of direct and indirect path coefficients) between emotional intelligence and clinical decision-making pattern (P<0.001, β=0.442), between critical thinking style and clinical decision-making pattern (P<0.001, β=0.335), between self-efficacy beliefs and clinical decision-making pattern (P<0.001, β=0.325), between self-confidence and clinical decision-making pattern (P<0.001, β=0.243) and the indirect effect between emotional intelligence (P<0.001, β=0.154), and critical thinking style (P<0.001, β=0.188) on the pattern of positive clinical decision-making and It was meaningful. Emotional intelligence, critical thinking, self-efficacy beliefs and self-confidence explain a total of 59% of the variance of the decision-making pattern in nurses.

 The study showed that self-efficacy beliefs and self-confidence mediated the relationship between emotional intelligence and critical thinking style with clinical decision-making among Rasht hospitals' nursing staff. Self-efficacy beliefs and self-confidence increased the relationship between emotional intelligence and critical thinking style with clinical decision-making.

Decisions that the nurses taking during clinical care are affecting their effectiveness in clinical performance and can affect the patient's life and his medical experience. The present study aimed to provide a clinical decision-making model based on emotional intelligence with the assumption of self-efficacy and self-confidence beliefs in the Nursing staff of Rasht Hospital. The method of this descriptive-correlational study was relying on structural equation model. The statistical population of this study was nurses in the intensive care units of Rasht hospitals, which were selected by randomized cluster sampling method, and 364 people were selected by clinical decision-making questionnaire Laureria and Salalara (2002), Bradury and Erotic Elementary Questionnaire (2005), Self-efficacy Questionnaire in Clinical Performance and Partners (2009) and Sensor-Self-confidence and 1993) confidence questionnaire. Data analysis using structural equation modeling method showed that emotional intelligence affects the clinical decision making model of nurses (P <0.01, β = 0.57); Self-efficacy beliefs affect the clinical decision making model of nurses (P <0.01), β-300) and self-esteem on the clinical decision-making model of nurses (P <0.01, β = 241). Also, self-efficacy beliefs (p <0.01, β = 186) and self-confidence (P <0.01), β-108 = 2006 mediate the effect of emotional intelligence on clinical decision making model of nurses. It is suggested that in the formulation of curriculum, self-efficacy and self-confidence beliefs are considered as the facilitating facilitating agents and the clinical performance of nursing students.

ICU is one of the vital departments in the hospital to reduce mortality and morbidity. The department where nurses face complex situations that require decision-making skills. In fact, problem solving is an important and complex issue clinical practice, and decision-making is an important indicator. The purpose of the study was to investigate the effect of SBAR-based patient safety education program on nurseschr('39') clinical decision making in intensive care unit nurses.

The quasi-experimental study was performed on 60 nurses working in intensive care units of Ayatollah Kashani and Hajar hospitals in Shahrekord, Iran in 1398. The subjects were randomly assigned to two experimental and control groups (30 people each). For the experimental group, five SBAR-based training program was held (Situation, Background, Assessment, and Recommendation). Data were collected using Lori et al. (2001) clinical decision making questionnaire before and one month after the intervention respectively. The collected data were analyzed using analysis of covariance in SPSS software (version 22).

According to the findings, the clinical decision-making score of the test group nurses before the intervention was 69.1± 5.44 and after the intervention was 80.8 ± 7.22 (P<0.001). In the control group, it was 70.6 ±6.94 before intervention and 71.1 ± 6.72 after intervention (P = 0.214). The rate of changes in the experimental group was 11.7 ± 3.79 and in the control, group was 0.53 ± 2.3. The results of the study showed that the implementation for the patient safety-training program based on SBAR technique had a significant effect on the mean score of clinical decision making of nurses.

The program training based on SBAR technique is effective on nurses chr('39')clinical decision-making. Therefore, it is suggested that HEC and planners benefit from this technique.