Abstract：
BACKGROUND:Nurses are one of the most influential factors in overcoming the main challenges faced by health systems throughout the world. Every health system should, hence, empower nurses in clinical judgment and decision-making skills. OBJECTIVE:This study evaluated the effects of implementing Tanner's reflection method on clinical decision-making of nurses working in an intensive care unit (ICU). DESIGN:This study used an experimental, pretest, posttest design. SETTING:The setting was the intensive care unit of Amin Hospital Isfahan, Iran. PARTICIPANTS:The convenience sample included 60 nurses working in the ICU of Amin Hospital (Isfahan, Iran). METHODS:This clinical trial was performed on 60 nurses working in the ICU of Amin Hospital (Isfahan, Iran). The nurses were selected by census sampling and randomly allocated to either the case or the control group. Data were collected using a questionnaire containing demographic characteristics and the clinical decision-making scale developed by Laurie and Salantera (NDMI-14). The questionnaire was completed before and one week after the intervention. The data were analyzed using SPSS 21.0. RESULTS:The two groups were not significantly different in terms of the level and mean scores of clinical decision-making before the intervention (P = 0.786). Based on the results of independent t-test, the mean score of clinical decision-making one week after the intervention was significantly higher in the case group than in the control group (P = 0.009; t = -2.69). The results of Mann Whitney test showed that one week after the intervention, the nurses' level of clinical decision-making in the case group rose to the next level (P = 0.001). CONCLUSION:Reflection could improve the clinical decision-making of ICU nurses. It is, thus, recommended to incorporate this method into the nursing curriculum and care practices.
journal_name
Nurse Educ Todayjournal_title
Nurse education todayauthors
Razieh S,Somayeh G,Fariba Hdoi
10.1016/j.nedt.2018.03.009subject
Has Abstractpub_date
2018-07-01 00:00:00pages
10-14eissn
0260-6917issn
1532-2793pii
S0260-6917(18)30134-5journal_volume
66pub_type
杂志文章abstract：:It is claimed that health care students who learn together will be better prepared for contemporary practice and more able to work collaboratively and communicate effectively. In Australia, although recognised as important for preparing nursing, pharmacy and medical students for their roles in the medication team, int...
journal_title：Nurse education today
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journal_title：Nurse education today
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journal_title：Nurse education today
pub_type： 杂志文章,多中心研究
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journal_title：Nurse education today
pub_type： 杂志文章,多中心研究
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journal_title：Nurse education today
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journal_title：Nurse education today
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journal_title：Nurse education today
pub_type： 杂志文章
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journal_title：Nurse education today
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doi：10.1016/j.nedt.2006.04.008
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journal_title：Nurse education today
pub_type： 杂志文章,评审
doi：10.1016/j.nedt.2004.05.002
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/s0260-6917(98)80063-4
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journal_title：Nurse education today
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更新日期：2017-02-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章,评审
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2014.06.011
更新日期：2014-10-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/s0260-6917(95)80008-5
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2012.11.005
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journal_title：Nurse education today
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pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Nurse education today
pub_type： 杂志文章
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journal_title：Nurse education today
pub_type： 杂志文章
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journal_title：Nurse education today
pub_type： 杂志文章
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