Participation in patient care decision making among nurses in a Nigerian tertiary hospital
DOI:
https://doi.org/10.60787/tnhj.v20i3.488Keywords:
Decision making, patient care, health personnel, hospital, NigeriaAbstract
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.
Downloads
References
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 The Nigerian Health Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
