Research on clinical decision-making ability of junior nurses and its influencing factors

Abstract

Objective To investigate the influencing factors for clinical decision-making ability of junior nurses, and provide theoretical basis for the cultivation of clinical decision-making ability of junior nurses. Methods A total of 633 junior nurses were investigated by using the general information questionnaire and the clinical decision-making ability questionnaire. Results The gross score in clinical decision-making ability of junior nurses was (143.55 ± 14.01) points, they scored lowest on the dimension of finding the solution to the problem, the score was (30.98±4.80) points, and they scored highest on the dimension of evaluating implementation effect, the score was (37.31±4.53) points. The unilabiate analysis revealed that the influence on the clinical decision-making ability of hospital level, job purpose, academic activity, relationship between nurses and patients, whether competent in nursing work were statistically significant (F=3.089-21.694, P<0.05 or 0.01). The multivariate analysis revealed that the factors impacting the nursing clinical decision-making ability were work experience, marital status, academic activity, relationship between nurses and patients, whether competent in nursing work. Conclusions The clinical decision-making ability of junior nurses remains to be improved, and the nursing administrators and educators should pay more attention to the different features of the unmarried nurse or the one lacking in work experience, intervene the controllable factors, make up the training gap, and teach the communication technique between nurses and patients to improve the clinical decision-making ability and the quality of nursing service. Key words: Nursing care; Junior nurses; Clinical decision-making ability; Influencing factors