The Relationship Between Perceived Clinical Decision Making Ability and Medication Dosage Calculation Ability of Registered Nurses
Review TypeNone: Degree-based Submission
Repository Posting Date2020-01-08T21:19:07Z
Author(s)Nichols, Lynn Marie Stover
Author DetailsDr. Lynn M. Stover Nichols, PhD, RN, BC, SANE
Lead Author Sigma AffliationNu
Level of EvidenceDescriptive/Correlational
Research ApproachPilot/Exploratory Study
To be an effective registered nurse, one must be able to integrate clinical decision-making skills into the medication calculation process in order to provide safe and effective care. Medication errors have been associated with negative outcomes for both patients and registered nurses. The execution of clinical decision-making skills throughout the medication administration process is crucial; however, the literature has not revealed a linking of these 2 concepts. The purpose of this study was to describe the relationship between registered nurses' clinical decision-making skills and the accuracy of medication dosage calculation. Simon's (1977) theory of decision making served as the conceptual framework for this study. The sample was composed of 64 pediatric registered nurses who were participating in a nursing orientation program at a pediatric acute care institution. Each subject completed a demographic data instrument, the Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins, 1983), and a Medication Calculation Test (MCT). The majority of the sample were female, employed full-time, and had earned a baccalaureate degree in nursing. Statistical analyses using linear regression revealed that age, gender, employment status, level of nursing education, years of nursing experience, and pediatric nursing subspecialty area did not serve as predictors of pediatric registered nurses' medication-calculation skills and clinical decision-making abilities. A Pearson product-moment correlation coefficient did not identify a significant relationship between the MCT scores and the CDMNS overall scores, as well as the 4 CDMNS subscale scores. The data suggested that subjects perceived themselves to possess strong clinical decision-making skills in Simon's (1977) initial 2 decision-making phases of intelligence and design; however, subjects reported weaker clinical decision-making skills in the final 2 phases of Simon's (1977) decision-making process, the choice and review phases. Recommendations for further research included an analysis of the outcomes of clinical decisions that are made by registered nurses. Other recommendations include the psychometric development of an objective measure of clinical decision making and a study of the effect of medication dosage calculation remediation for registered nurses.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9964643; ProQuest document ID: 304589313. The author still retains copyright.
Advisor(s)Reilly, Mary Lyn
Degree GrantorThe University of Alabama at Birmingham
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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