Factors Influencing in Clinical Decision Making of Nurse: A Systematic Review

Baitus Sholehah; Asti Melani Astari; Rinik Eko Kapti

doi:10.54783/ijsoc.v2i3.141

Baitus Sholehah Student of Nursing Master Program, Medical Faculty, Universitas Brawijaya, Indonesia
Asti Melani Astari Medical Faculty, Universitas Brawijaya, Indonesia
Rinik Eko Kapti Medical Faculty, Universitas Brawijaya, Indonesia

DOI: https://doi.org/10.54783/ijsoc.v2i3.141

Keywords: Clinical Decision Making, Nurse, Factors Influencing

Abstract

Clinical decision making is important for nurses to do. Clinical decision making is a complex process consisting of careful assessment of pathological conditions and patient history and the use of nursing knowledge and learning based on critical thinking experiences. Improper clinical decision making will have fatal consequences for patients This review system was compiled using Proquest. Science Direct and Pubmed databases. Article selection is carried out to identify relevant articles then screening is conducted to adjust the inclusion criteria. 13 articles were obtained in accordance with inclusion criteria and reviewed by using JBI (Joanna Briggs Institute Levels). Data shows that nurses have a very important role in clinical decision making. Nurses' clinical decision making is considered due to the risks faced by patients, thus the nurses should think critically. Clinical decision making for nurses is influenced by several factors including experience, knowledge, environment, team, supervisor support, and professionalism.

References

Bach, V., Ploeg, J., & Black, M. (2009). Nursing roles in end-of-life decision making in critical care settings. Western Journal of Nursing Research, 31(4), 496–512. https://doi.org/10.1177/0193945908331178

Bakalis, Ni. (2006). Clinical decision-making in Cardiac nursing: a review of the literatur. Art & Science Cardiology Focus, 21(12).

Benner, P., Tanner, C. A., & Chesla, C. A. (2009). Expertise in Nursing Practice Caring, Clinical Judgment & Ethics. (A. Graubard, Ed.) (second). New York: Springer Publishing Company.

Bjørk, I. T., & Hamilton, G. A. (2011). Clinical Decision Making of Nurses Working in Hospital Settings. Nursing Research and Practice, 2011, 1–8. https://doi.org/10.1155/2011/524918

Brummell, S. P., Seymour, J., & Higginbottom, G. (2016). Cardiopulmonary resuscitation decisions in the emergency department: An ethnography of tacit knowledge in practice. Social Science and Medicine, 156, 47–54. https://doi.org/10.1016/j.socscimed.2016.03.022

Bucknall, T. K. (2010). Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care, 23(3), 150–156. https://doi.org/10.1016/j.aucc.2010.06.001

Carroll, D. W. (2010). Assessment of capacity for medical decision making. Journal of Gerontological Nursing, 36(5), 47–52. https://doi.org/10.3928/00989134-20100303-03

Chen, S. L., Hsu, H. Y., Chang, C. F., & Lin, E. C. L. (2016). An exploration of the correlates of nurse practitioners’ clinical decision-making abilities. Journal of Clinical Nursing, 25(7–8), 1016–1024. https://doi.org/10.1111/jocn.13136

Choi, M., & Kim, J. (2015). Relationships Between Clinical Decision-Making Patterns and Self-Efficacy and Nursing Professionalism in Korean Pediatric Nurses. Journal of Pediatric Nursing, 30(6), e81–e88. https://doi.org/10.1016/j.pedn.2015.07.001

Dolan, C. (2017). Moral, Ethical, and Legal Decision-making in Controversial NP??Practice Situations. Journal for Nurse Practitioners, 13(2), e57–e65. https://doi.org/10.1016/j.nurpra.2016.10.017

Dunger, C., Schnell, M. W., & Bausewein, C. (2017). Nurses’ decision-making in ethically relevant clinical situations using the example of breathlessness: Study protocol of a reflexive grounded theory integrating Goffman’s framework analysis. BMJ Open, 7(2), 1–8. https://doi.org/10.1136/bmjopen-2016-012975

Esmaelzadeh, F., Abbaszadeh, A., Borhani, F., & Peyrovi, H. (2017). Strengthening ethical decision-making: The experience of Iranian nurses. Nursing Management, 24(6), 33–39. https://doi.org/10.7748/nm.2017.e1610

Fry, M., & MacGregor, C. (2014). Confidence and impact on clinical decision-making and behaviour in the emergency department. Australasian Emergency Nursing Journal, 17(3), 91–97. https://doi.org/10.1016/j.aenj.2014.03.003

Gazarian, P. K., Henneman, E. A., & Chandler, G. E. (2010). Nurse decision making in the prearrest period. Clinical Nursing Research, 19(1), 21–37. https://doi.org/10.1177/1054773809353161

Hosseini, S. M. R., Maleki, M., Gorji, H. A., Khorasani-Zavareh, D., & Roudbari, M. (2018). Factors affecting emergency medical dispatchers’ decision-making: A qualitative study. Journal of Multidisciplinary Healthcare, 11, 391–398. https://doi.org/10.2147/JMDH.S159593

Johansen, M. L., & O’Brien, J. L. (2016). Decision Making in Nursing Practice: A Concept Analysis. Nursing Forum, 51(1), 40–48. https://doi.org/10.1111/nuf.12119

Kohn, Corrigan, J., & Donaldson, M. (2000). Errors in Health Care A Leading Cause of Death and Injury - To Err is Human - NCBI Bookshelf. Retrieved from www.ncbi.nlm.nih.gov/books/NBK225187/box/bbb00001/?report=objectonly

Lauri, S., & Salanterä, S. (2002). Developing an instrument to measure and describe clinical decision making in different nursing fields. Journal of Professional Nursing, 18(2), 93–100. https://doi.org/10.1053/jpnu.2002.32344

Mizerek, E., & Wolf, L. (2015). To Foley or Not To Foley: Emergency Nurses’ Perceptions of Clinical Decision Making in the Use of Urinary Catheters in the Emergency Department. Journal of Emergency Nursing, 41(4), 329–334. https://doi.org/10.1016/j.jen.2014.09.009

Payne, L. K. (2015). Toward a Theory of Intuitive Decision–Making in Nursing. Nursing Science Quarterly, 28(3), 223–228. https://doi.org/10.1177/0894318415585618

Pitel, L., & Mentel, A. (2017). Decision-making styles and subjective performance evaluation of decision-making quality among hospital nurses. Studia Psychologica, 59(3), 217–231. https://doi.org/10.21909/sp.2017.03.742

Prescott, P. A., Dennis, K. E., & Jacox, A. K. (1987). Clinical Decision Making of Staff Nurses. Image: The Journal of Nursing Scholarship, 19(2), 56–62. https://doi.org/10.1111/j.1547-5069.1987.tb00591.x

Simamora, N. U. R. F. (2018). Proses Pengambilan Keputusan dalam Kperawatan dengan Konsep Berfikir Kritis.

Thompson, C., Dalgleish, L., Bucknall, T., Estabrooks, C., Hutchinson, A. M., Fraser, K., … Saunders, J. (2008). The Effects of Time Pressure and Experience on Nurses’ Risk Assessment Decisions. Nursing Research, 57(5), 302–311.

Wilson, D. S., Talsma, A. N., & Martyn, K. (2011). Mindful staffing: A Qualitative description of charge nurses’ Decision-Making behaviors. Western Journal of Nursing Research, 33(6), 805–824. https://doi.org/10.1177/0193945910396519

Wu, M., Yang, J., Liu, L., & Ye, B. (2016). An Investigation of Factors Influencing Nurses’ Clinical Decision-Making Skills. Western Journal of Nursing Research, 38(8), 974–991. https://doi.org/10.1177/0193945916633458