Objective To investigate the current status of shared decision making competence among clinical nurses in tertiary grade-A hospitals and analyze its influencing factors, and to provide reference for nursing managers to develop targeted interventions. Methods Convenience sampling was used to select 608 nurses from 5 tertiary grade-A hospitals in Shandong Province as the research subjects. The General Information Questionnaire, Competency of Shared Decision Making in Nursing Staff, and Nursing Work Environment Scale were used to conduct the survey. Results The total score of nurses’ shared decision making competence was 209.40±27.04. Shared decision making competence was positively correlated with the total score of nursing work environment (r=0.763, P<0.01). Multiple linear regression analysis showed that professional title, years of experience, current department, whether having education and training on shared decision making or not, and total score of nursing work environment entered the regression equation (P<0.05), which could explain 62.9% of the total variation. Conclusion The shared decision making competence of 608 clinical nurses is above the average. Professional title, years of experience, current department, whether receiving education and training on shared decision-making or not, and the total score of nursing work environment are the main influencing factors of nurse’s shared decision making competence. A nurse-led shared decision-making competency training system and interdisciplinary shared-decision making models are conducive to creating positive nursing work environment and shared decision making atmosphere from the organizational level, so as to improve nurses’ shared decision making competency, doctor-patient relationships, patient treatment compliance and sense of medical access.
Key words
clinical nurses /
shared decision making competence /
nursing work environment /
influencing factor
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