Indian Journal of Public Health Research & Development
  • Year: 2016
  • Volume: 7
  • Issue: 4

Nurses Perception of Factors Infuencing Clinical Decision Making

  • Author:
  • V Nageshwar1, Judith A Noronha2,, Anitha Nileshwar3, Anice George2, Baby S Nayak2, Tessy Treesa Jose2, Blessy Prabha Valsaraj4
  • Total Page Count: 5
  • Page Number: 54 to 58

1PhD Scholar, Manipal College of Nursing, Manipal University, Manipal

2Professor, Manipal College of Nursing, Manipal University, Manipal

3Professor and HOD, Anaethesiology, KMC, Manipal

4Associate Professor, Manipal College of Nursing, Manipal University

*Corresponding author: Dr Judith A Noronha, Associate Dean and Professor, Dept of OBG Nursing, Manipal College of Nursing, Manipal-576104. email: juval12@yahoo.co.in, judith.n@manipal.edu

Online published on 14 October, 2016.

Abstract

Nurses are practicing in the era of ongoing advancement of research and technology. This change in health care environment needs nurses to improve competency in decision making to respond to client's requirement.

To find out perceived factors affecting Clinical Decision Making (CDM) skills regarding Post-operative pain management among staff nurses.

A cross-sectional survey was carried out among 165 nurses in a selected hospital of Udupi district, Karnataka. A 36 item Questionnaire on Factors Affecting CDM regarding Post-operative pain management was used to assess the factors affecting CDM for caring for with post-operative pain.

Majority of the participants agreed that Self-esteem (General), education regarding decision making, situation, clinical nursing experience were the most influencing factors. Apart from the above factors, influence of Senior nurses in the clinical field (Modeling), cognitive process, relationship with ward in-charge, perception of CDM were the moderately influencing factors and the least influencing factors were locus of control and stress related to clinical decision making regarding Post-operative pain management

Clinical decision making is an essential component of quality clinical nursing practice. Understanding the factors influencing decision making enables to strengthen the individual and external factors enabling appropriate decisions to be taken regarding patient care.

Keywords

Factors influencing, Clinical decision making, Staff nurses