EVALUATION OF PARTICIPATION IN CLINICAL DECISION MAKING BY NURSES IN SELECTED HOSPITALS OF SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES

Clinical decision making in professional nursing practice, distinguishes essential part of
professional nursing care staff with that of unprofessional. Each factor in clinical decision making, had
a significant effect on the quality of care and clinical decision-making process to identify the needs of
patients, and it determines the nursing care. Therefore, this study aimed to determine the level of
participation in clinical decision making by nurses in hospitals affiliated to Shahid Beheshti University
of Medical Sciences.
Methods: This study is a descriptive cross-sectional study on 200 nurses working at the hospitals of
Shahid Beheshti University of Medical Sciences. The samples were selected through stratified random
sampling. The tools for data collection were personal data and standardized questionnaires to assess the
activities of clinical decision making (PDAQ). Data were analysis with SPSS 19 software and
descriptive test.
Results: Statistical tests showed that the participation of nurses in clinical decision making in selected
hospitals of Shahid Beheshti University of Medical Sciences, were moderate (36.3), (p=0.001). The
clinical decision making is influenced by factors such as age, sex, marital status, work experience and
type of employment.
Conclusions: The variables affecting nurses' participation in clinical decision making can be a way to
improve clinical decision .Therefore, identification of factors in clinical decision making in this context
can be helpful.