Clinical Decision-making Experience of the Critical Care Nurses’ and Its Effect on Their Job Satisfaction: Opportunities of Good Performance

摘要

Background: Decision making is esteemed as single of the core traits of human being for a critical care nurse and vital aspect of the performance of critical care nursing. Critical care nurses are continually faced by way of situations where they have to create well clinical decisions. Aim: This study was conducted to investigate clinical decision-making Experience of the critical care nurses’ and its effect on their Job satisfaction. Subjects and method: A descriptive exploratory research design was used. Purposive sample of all nurses were included in this study. It included 60 nurse worked in Damanhur teaching governmental hospitals from ICU and CCU units. Data were collected through using two modificated tools from; Michael, 2007 and Alzahrany (2010) which the first Tool includes nurse's job satisfaction sheet and the second tool contains nurse's clinical decision making experience quesionnaire. Results: The study discovered that the majority of the nurses were satisfied for work environment and rules, Money and reinforcement and facilities of work and autonomy and safety (75%), (68.3%), (70%) respectively with statistically significance difference. Also, it reflects unsatisfactory level regard programs and workshops and relation with work supervisors, colleagues and patients (55%), (91.7) respectively. In addition to, (53.3%) of the nurses were knowledgeable regarding clinical decision making process and satisfactory level in their job with statistically significance differences. In addition to, the nurses had more than 6 years work experience in critical care settings had satisfactory knowledge regarding clinical decision making process Conclusion & recommendations: The present study concluded that the steps of clinical decision making becomes easier and controllable when the critical care nurses become more knowledgeable and qualified. The critical care nurses had more than 6 years’ experience making better clinical decision and had job satisfaction. So, the present study recommended that there are obvious needs for strength clinical competence in nurses, the development and enhancement of critical thinking should be emphasized at the nursing college's level and nurses should be empowered to make appropriate clinical decisions and corrective actions in critical situations of care which reflected indirectly on nurse's satisfaction.