Participation in patient care decision making among nurses in a Nigerian tertiary hospital
Background: Nursing practice expects nurses’ to participate in patient care decision making processes with co-nurses (intra-professional) and other healthcare professional groups (inter-professional).
Aim: This study examined the participation of nurses in patient care decisions at University of Calabar Teaching Hospital, southern Nigeria.
Methodology: A cross-sectional design was on a sample of 163 respondents. Proportionate sampling technique was utilized for selecting respondents. Data was collected using a semi-structured Participation in Patient Care Decision Making (PPCDM) questionnaire. Data analysis was done using descriptive and inferential statistics at 5% level of significance with the aid of SPSS 21 software.
Results: The respondents had inadequate intra-professional (69.6%, criterion 70.0%) and inter-professional (37.4%) participation in patient care decisions. The overall participation was inadequate (53.5%). The perceived factors inhibiting participation of the respondents were non-supportive attitude of healthcare staff and respondents’ rank in healthcare service. The risk of non-participation in patient care decision making process was 276% greater in respondents aged 20-39 years, 171% greater in hospital-based nursing diploma holders, 93% greater in the junior ranks, 76% greater in respondents with years of experience ≤ 15 and 46% greater in males.
Conclusion: The respondents had inadequate intra and inter-professional participation in patient care decisions which was influenced by age, educational qualification, rank, years of nursing experience and gender. More continuing education on intra and inter professional collaboration for health care providers might remedy the identified situation.
Nibbelink, C., & Brewer, B. Decision-making in nursing practice: an integrative literature review. J Clin Nurs, 2018; 27, 917-928. https://doi.org/10.1111/jocn.14151.
Chisengantambu-winters, C., Robinson, G. & Evans, N. Developing a decision-making dependency (DMD) model for nurse managers. Heliyon, 2020; 6, e03128. https://doi.org/10.1016/j.heliyon.2019.e03128.
Wu, M., Yang, J., Liu, L., & Ye, B. An investigation of factors influencing nurses' clinical decision-making skills. West J Nurs Res, 2016; 38(8), 974-991. https://doi.org/10.1177/0193945916633458.
Jaafarpour, M., & Khani, A. The participation of nurses in decision making. J Clin Diagn Res, 2011; 5, 16-19.
Farcic, N., Barac, I., Lovric, R., Pacaric, S., Gvozdanovic, Z., & Ilakovac, V. The influence of self-concept on clinical decision-making in nurses and nursing students: a cross-sectional study. Int J Environ Res Public Health, 2020; 17, 3059. https://doi.org/10.3390/ijerph17093059.
Gizaw, A., Kidane, B., Negese, D., & Negassa, E. Factors affecting clinical decision-making practice among nurses working in Jimma University Medical Center, Jimma southwest Ethiopia. Ann Nurs Pract, 2018; 5(2), 1094.
Gatbonton, R. Decisional involvement on work quality of nurses. Nurs Palliative Care Int, 2019; 2(1), 21-27. https://doi.org/10.30881/npcij.00011.
Ashley, J., & Stamp, K. Learning to think like a nurse: the development of clinical judgment in nursing students . J Nurs Educ, 2014; 53(9), 519-525. https://doi.org/10.3928/01484834-20140821-14.
Maharmeh, M., Alasad, J., Salami, I., Saleh, Z., & Darawad, M. Clinical decision-making among critical care nurses: a qualitative study. Health, 2016; 8(1), 15.
Hsieh, M., Lee, M., Chen, T., Tsai, T., Pai, Y., & Sheu, M. Analyzing the effectiveness of teaching and factors in clinical decision-making. Tzu Chi Med J, 2017; 29(4), 223-227. https://doi.org/10.4103/tcmj.tcmj_34_17.
Stubbings, L., Chaboyer, W., & Mcmurray, A. Nurses' use of situation awareness in decision-making: an integrative review. J Adv Nurs, 2012; 68(7), 1443-1453. https://doi.org/10.1111/j.1365-2648.2012.05989.x.
Ndikumana, C., Tubey, R., & Kwonyike, J. Involvement in decision-making processes and retention of health workers: findings from a cross-sectional study in Rwandan Public District Hospitals . Pan Afr Med J, 2019; 34(1), 129. https://doi.org/10.11604/pamj.2019.34.129.16514.
Nibbelink, C., & Carrington, J. Nurse decision making in acute care. Comput Inform Nurs, 2019; 37(3), 151-160. https://doi.org/10.1097/CIN.0000000000000521.
Polit, F., & Beck, C. Nursing Research: Generating and Assessing Evidence For Nursing Practice 2012. Philadelphia: Lippincott Williams & Wilkins.
Rota, B., & Laitila, T. Comparison of Some Weighting Methods of Nonresponse Adjustment. Lithuanian J Stat, 2015; 54, 69-83.
Bolarinwa, O. Principles and methods of validity and reliability testing of questionnaires wused in social and health science researches. Niger Postgrad Med J, 2015; 22, 195-201. https://doi.org/10.4103/1117-1936.179959.
Charan, J., & Biswas, T. How to Calculate Sample Size for Different Study Designs in Medical Research. Indian J Psychol Med, 2013; 35(2), 121-126. https://doi.org/10.4103/0253-7176.116232.
Samuel, H., Sehar, S., Afzal, M., & Gilani, S. Influence of supportive leadership on nursing clinical decision making in critical care units at tertiary care hospital Lahore. Int J Nurs, 2018; 5(2), 45-71. https://doi.org/10.15640/ijn.v5n2a5.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.