Nursing Management إدارة التمريض

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Browsing Nursing Management إدارة التمريض by Author "Ahlam Ismael Mughanam Alshaer"

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    Influence of Professional Value on Clinical Decision-Making among Nurses in Neonatal Intensive Care Units
    (Al-Quds University, 2025-08-13) Ahlam Ismael Mughanam Alshaer; احلام اسماعيل مغنم الشاعر
    The clinical decision making is critical in neonatal care because nurses must routinely make rapid judgments based on their expertise to provide the best possible outcomes for extremely vulnerable neonates. Effective clinical decision making is a critical component of neonatal nursing practice since it reduces dangers and improves patient well-being. The Professional values represent the core principles, ethical standards, and beliefs that shape professional behavior and decision-making. In the context of neonatal care, these values direct nurses in providing safe, compassionate, and responsible care to newborns and their families, emphasizing integrity, respect, and a commitment to achieving the highest quality of clinical outcomes. Aim of the study This study aims to assess the influence of professional value on clinical decision making among nurses in neonatal intensive care units west bank of Palestine, and to identify key factors that predict clinical decision-making in this critical care environment. Methods A cross-sectional, descriptive correlational design was conducted on 184 full-time NICU nurses recruited from eleven governmental hospitals in the West Bank. Selected through convenience sampling due to institutional access constraints during political unrest. Data were collected using two validated instruments; the nursing professional value using the NPVS-3 and the clinical decision making nursing scale. Results According to the analysis, nurses demonstrated a high level of professional commitment, with an average professional value score of 94.5 ± 14.6 out of a possible 140. Among the subdomains, "caring" scored the highest (M = 34.2 ± 5.5), reflecting its central role in nursing practice. Clinical decision-making (CDM) also showed strong engagement, with a high overall mean score of 179.1 ± 8.9. The subscale "Search for alternatives or options" had the highest score (M = 48.6 ± 1.4), while "Canvassing of objectives and value" scored the lowest (M = 41.7 ± 7.1). A multiple linear regression revealed that age, gender, years of nursing and NICU experience, and professional value significantly predicted CDM (R² = 0.735, p = 0.001). Notably, professional value were the strongest predictor (B = 0.496, p = .001), followed by gender, indicating that both ethical grounding and demographic factors influence nurses’ decision-making in NICUs. Conclusions The current study confirmed that nurses in NICUs demonstrate a high level of commitment to professional value, with the value of "caring" being particularly prominent. Also, the results also showed increase the clinical decision-making, particularly in the "search for alternatives" dimension. The study also concluded that clinical decision-making among NICU nurses is influenced by several factors, most notably professional value, which showed a strong, positive relationship. The multiple linear regression model was able to explain 73.5% of the variance in decision-making, demonstrating the robustness of the studied factors and their importance in improving the quality of healthcare. Keywords: "clinical decision making", professional value, "neonatal intensive care unit", nurses, Palestine\