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

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.