The relationship between clinical decision-making levels and self-efficacy levels of operating room nurses

Sedat Kaya , Gizem Kubat Bakir
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Abstract

Background

Clinical decision-making and self-efficacy levels of operating room nurses are critical for patient care quality and safety.

Objective

This study aims to examine the relationship between clinical decision-making levels and self-efficacy among operating room nurses and to identify factors influencing these two key components of nursing practice.

Methods

A cross-sectional descriptive design was used to survey 94 nurses working in surgical wards at Ankara University Medical Faculty Hospital. Data were collected using the Clinical Decision Making in Nursing Scale (CDMNS), General Self-Efficacy Scale (GSES), and a demographic information form. Data were analyzed using descriptive statistics, correlation analysis, and group comparisons.

Results

A significant positive correlation was found between clinical decision-making ability and self-efficacy (r = 0.355, p < .0001). Nurses with higher education levels demonstrated significantly greater clinical decision-making skills (p < .005). Nurse managers reported significantly higher self-efficacy levels compared to scrub/circulating nurses (p < .05). Age was positively correlated with self-efficacy (r = 0.373, p < .0001) but not with clinical decision-making ability.

Conclusion

The research indicated that self-efficacy levels correspond with clinical decision-making capabilities of the operating room nurses. Higher education levels of the practitioners enhanced their clinical decision-making abilities. Nurse managers had higher self-efficacious beliefs than the scrub or circulating nurses. Age was positively associated with self-efficacy, but not with the scores on clinical decision-making abilities. The results of this study nurse leaders have higher GSES and CDMNS scores because they are experienced nurses with higher education degrees.

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手术室护士的临床决策水平与自我效能水平之间的关系
背景手术室护士的临床决策和自我效能水平对患者护理质量和安全至关重要。本研究旨在探讨手术室护士的临床决策水平和自我效能之间的关系,并确定影响护理实践中这两个关键组成部分的因素。采用护理临床决策量表(CDMNS)、一般自我效能量表(GSES)和人口统计学信息表收集数据。结果发现临床决策能力与自我效能感之间存在显著的正相关(r = 0.355,p <.0001)。受教育程度较高的护士的临床决策能力明显更强(p <.005)。与擦洗/循环护士相比,护士长的自我效能水平明显更高(p <.05)。年龄与自我效能感呈正相关(r = 0.373,p <.0001),但与临床决策能力无关。从业人员的教育水平越高,其临床决策能力越强。护士长的自我效能信念高于擦洗护士和循环护士。年龄与自我效能感呈正相关,但与临床决策能力得分无关。这项研究的结果表明,护士长的 GSES 和 CDMNS 分数较高,因为他们是受过高等教育、经验丰富的护士。
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来源期刊
Perioperative Care and Operating Room Management
Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing
CiteScore
1.30
自引率
0.00%
发文量
52
审稿时长
56 days
期刊介绍: The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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