EVALUATION OF CLINICAL DECISION-MAKING MODELS OF HEMODIALYSIS NURSES IN URMIA IN 2020-2021

Ghodsi, P and Rasouli, J and Hemmati, M and Alilu, L (2021) EVALUATION OF CLINICAL DECISION-MAKING MODELS OF HEMODIALYSIS NURSES IN URMIA IN 2020-2021. Nursing and Midwifery Jouranl, 18 (10). pp. 759-765.

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Abstract

The nurse is responsible for the direct care of hemodialysis patients and the decisions of hemodialysis nurses play a very important role in the clinical fate of patients. Due to the importance of nurses' decision making, this study was conducted to determine the clinical decision making models of hemodialysis nurses in Urmia hospitals. Materials & Methods: The present study is a descriptive cross-sectional study performed on 60 nurses working in hemodialysis wards of Urmia Medical Sciences Hospitals. The samples were selected by census. Data were collected from the Demographic Information Questionnaire and the Lauri and Salantra Clinical Decision Questionnaire. Data were analyzed using SPSS-16 software and descriptive and inferential tests. Results: Findings showed that 11.67% of hemodialysis nurses have an intuitive decision model, 73.33% have an analytical-intuitive decision model and 15% have an analytical decision model. The results indicate that hemodialysis nurses use analytical-intuitive decision making more. Conclusions: According to the findings of this study, it can be concluded that hemodialysis nurses use all three decision models. Given that analytical decision-making means using up-to-date knowledge and making the right decision based on up-to-date information, nurses should be trained in analytical decision-making and continuous efforts to support and strengthen nurses' use of this decision-making model.

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