CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2019; 09(03): 091-097
DOI: 10.1055/s-0039-3400662
Original Article

Perceptions of Clinical Decision-Making Skills among Saudi Nursing Students: A Comparative Study

Reem Nassar AL-Dossary
1   Department of Nursing Education, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
,
Sherien Ragab Abdelsamed Dorgham
1   Department of Nursing Education, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
,
Jestoni Dulva Maniago
2   Department of Nursing, College of Applied Medical Sciences, Majmaah University, Saudi Arabia
› Author Affiliations

Abstract

Introduction As complexities in healthcare and medical technology increase, nursing students and newly graduated nurses may often feel less confident and have fewer skills in decision-making than experienced nurses.

Objective The main purpose of this article is to explore nurses’ perceptions of their clinical decision-making skills.

Materials and Methods A comparative, cross-sectional design was used to conduct a study at a college of nursing in the Eastern Province of Saudi Arabia. The sample consisted of students (n = 139) enrolled in bridging (n = 72) and undergraduate (basic; n = 67) programs.

Results Highly statistically significant differences were revealed between students in the bridging program and those in the undergraduate program. Those in the bridging program showed higher mean and median values than did undergraduate students, demonstrating better decision-making skills.

Conclusion Students in the bridging program have better decision-making skills compared with students in the baccalaureate program.



Publication History

Received: 16 September 2019

Accepted: 07 October 2019

Article published online:
05 February 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Dang D, Dearholt SL. Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines. Indianapolis, IN: Sigma Theta Tau. 2017; 00
  • 2 Siew Eng H, Mohamad N, Ismail N, Zain J. Nurses’ decision-making skill in the clinical nursing setting of a tertiary hospital. New Iraqi J Med 2011; 7: 81-87
  • 3 Al-Dossary RN, Kitsantas P, Maddox PJ. Clinical decision-making among new graduate nurses attending residency programs in Saudi Arabia. Appl Nurs Res 2016; 29: 25-30
  • 4 Voldbjerg SL, Grønkjaer M, Wiechula R, Sørensen EE. Newly graduated nurses’ use of knowledge sources in clinical decision-making: an ethnographic study. J Clin Nurs 2017; 26 (9–10) 1313-1327
  • 5 Tomlinson J. Using clinical supervision to improve the quality and safety of patient care: a response to Berwick and Francis. BMC Med Educ 2015; 15 (01) 103
  • 6 Jahanpour F, Sharif F, Salsali M, Kaveh MH, Williams LM. Clinical decision-making in senior nursing students in Iran. Int J Nurs Pract 2010; 16 (06) 595-602
  • 7 Thabet M, Eman E, Abood SA, Morsy SR. The effect of problem-based learning on nursing students’ decision making skills and styles. J Nurs Educ Pract 2017; 7 (06) 108-116
  • 8 Al-Dossary RN. The Saudi Arabian 2030 vision and the nursing profession: the way forward. Int Nurs Rev 2018; 65 (04) 484-490
  • 9 Tiffen J, Corbridge SJ, Slimmer L. Enhancing clinical decision making: development of a contiguous definition and conceptual framework. J Prof Nurs 2014; 30 (05) 399-405
  • 10 Ulrich B, Krozek C, Early S, Ashlock CH, Africa LM, Carman ML. Improving retention, confidence, and competence of new graduate nurses: results from a 10-year longitudinal database. Nurs Econ 2010; 28 (06) 363-376
  • 11 Forber J, DiGiacomo M, Davidson P, Carter B, Jackson D. The context, influences and challenges for undergraduate nurse clinical education: continuing the dialogue. Nurse Educ Today 2015; 35 (11) 1114-1118
  • 12 Bourgeois S, Drayton N, Brown AM. An innovative model of supportive clinical teaching and learning for undergraduate nursing students: the cluster model. Nurse Educ Pract 2011; 11 (02) 114-118
  • 13 Almalki M, FitzGerald G, Clark M. The nursing profession in Saudi Arabia: an overview. Int Nurs Rev 2011; 58 (03) 304-311
  • 14 Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press; 2011
  • 15 Bashatah A, Alkorashy H. Challenges in curriculum designs: RN to BSN bridging program at King Saud University. Paper given at Business and Health Administration Association, Division of MBAA International Meeting, Chicago, Illinois, March 2011; 00
  • 16 Alamri M. Higher education in Saudi Arabia. J Higher Educ Theory Pract 2011; 11 (04) 88-91
  • 17 Kriston L, Scholl I, Hölzel L, Simon D, Loh A, Härter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns 2010; 80 (01) 94-99
  • 18 Thomas C, Mackey E. Influence of a clinical simulation elective on baccalaureate nursing student clinical confidence. J Nurs Educ 2012; 51 (04) 236-239
  • 19 Thompson C, Aitken L, Doran D, Dowding D. An agenda for clinical decision making and judgement in nursing research and education. Int J Nurs Stud 2013; 50 (12) 1720-1726
  • 20 Waltz CF, Strickland OL, Lenz ER. Eds. Measurement in Nursing and Health Research. New York, NY: Springer; 17.04.2010
  • 21 Baker JD. Nurses’ perceptions of clinical decision making in relation to patients in pain. http://hdl.handle.net/2123/489. Accessed November 4, 2019
  • 22 Teng CI, Shyu YI, Chiou WK, Fan HC, Lam SM. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int J Nurs Stud 2010; 47 (11) 1442-1450
  • 23 Yanhua C, Watson R. A review of clinical competence assessment in nursing. Nurse Educ Today 2011; 31 (08) 832-836
  • 24 Bjørk IT, Hamilton GA. Clinical decision making of nurses working in hospital settings. Nurs Res Pract 2011 2011; 524918
  • 25 Sedgwick M, Harris S. A critique of the undergraduate nursing preceptorship model. Nurs Res Pract 2012 2012; 248356 DOI: 10.1155/2012/248356.
  • 26 Morrow S. New graduate transitions: leaving the nest, joining the flight. J Nurs Manag 2009; 17 (03) 278-287
  • 27 Dorgham SR, Al-Mahmoud SA. Leadership styles and clinical decision making autonomy among critical care nurses: a comparative study. IOSR J Nurs Health Sci 2013; 1 (04) 71-83
  • 28 Gillespie M, Peterson BL. Helping novice nurses make effective clinical decisions: the situated clinical decision-making framework. Nurs Educ Perspect 2009; 30 (03) 164-170
  • 29 Van Graan AC, Williams MJ, Koen MP. Professional nurses’ understanding of clinical judgement: a contextual inquiry. Health SA Gesondheid 2016; 21 (01) 280-293
  • 30 Griffiths P, Jones S, Bottle A. Is “failure to rescue” derived from administrative data in England a nurse sensitive patient safety indicator for surgical care? Observational study. Int J Nurs Stud 2013; 50 (02) 292-300
  • 31 Kavanagh JM, Szweda C. A crisis in competency: the strategic and ethical imperative to assessing new graduate nurses’ clinical reasoning. Nurs Educ Perspect 2017; 38 (02) 57-62
  • 32 AL-Dossary R. Clinical Decision Making in the Nursing Profession, A Guide for Nursing Students. Beau Bassin, Mauritius: Lambert Academic; 2018
  • 33 Groves PS, Bunch JL, Cram E, Perkhounkova Y. Development and feasibility testing of a patient safety research simulation. Clin Simul Nurs 2018; 15: 27-33
  • 34 Arslan FT, Türkmen AS, Qelen R, Özkan S, Altiparmak D, Çahin A. Comparing traditional and simulation-based experiences in pediatrics with undergraduate nursing students in Turkey. Clin Simul Nurs 2018; 16: 62-69
  • 35 National League for Nursing (NLN) Board of Governors. A vision for teaching with simulation: a living document from the National League for Nursing. 2015. http://www.nln.org/docs/default-source/about/nln-vision-series-(position-statements)/vision-statement-a-vision-for-teaching-with-simulation.pdf?sfvrsn=2. Accessed January 8, 2019