THE EFFECT OF OTTAWA DECISION SUPPORT FRAMEWORKTRAINING IN AN INTERACTIVE WORKSHOP WITH ANDWITHOUT STANDARDIZED PATIENTS ON CLINICAL DECISIONMAKING OF NURSES IN AN INTENSIVE CARE UNIT

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SHAHRAKI MOGHADDAM ELHAM; MANZARI ZAHRASADAT; HESHMATI NABAVI FATEMEH; MAZLOM SEYED REZA

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Journal: Nursing And Midwifery Journal Year:2016 | Volume:14 | Issue:1 (78) Page(s): 66-77

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Title

THE EFFECT OF OTTAWA DECISION SUPPORT FRAMEWORKTRAINING IN AN INTERACTIVE WORKSHOP WITH ANDWITHOUT STANDARDIZED PATIENTS ON CLINICAL DECISIONMAKING OF NURSES IN AN INTENSIVE CARE UNIT

Author(s)

SHAHRAKI MOGHADDAM ELHAM | MANZARI ZAHRASADAT | HESHMATI NABAVI FATEMEH | MAZLOM SEYED REZA | Issue Writer Certificate

Keywords

OTTAWA DECISION SUPPORT FRAMEWORKQ2

WORKSHOPQ3

STANDARDIZED PATIENTQ2

CLINICAL DECISIONMAKINGQ2

INTENSIVE CARE UNITQ2

Abstract

Background & Aims: The complexity of the clinical status of patients in the ICU and the role of nurse’sdecisions on clinical outcomes of patients makes the education of nurses an essential task in the wards. This study determined the effect of education based on the OTTAWA DECISION SUPPORT FRAMEWORK usinginteractive WORKSHOPs on clinical decision-making skills of nurses in an INTENSIVE CARE UNIT (ICU).Materials and Methods: In this quasi experimental study, 58 nurses from the ICU of Shahid KamyabHospital in the city of Mashhad in Iran were randomly-assigned to one of the two WORKSHOPs either withstandardized patients (n=28) or without STANDARDIZED PATIENTs (n=30). Each WORKSHOP session lasted6 hours, and it had identical educational content and clinical scenarios. Both groups completed a clinicaldecision-making questionnaire before intervention, and 45 days post-intervention. Data analysis wasdone using the t-test, paired test, Mann-Whitney, and chi-square tests in SPSS (v.16). Results wereconsidered significant at p=0.05.Results: There was no significant difference in decision-making (p=0.120) between groups beforeintervention. The results of the paired-test indicated that the mean plus standard deviation scores weresignificantly different (p<0.001) for the group with STANDARDIZED PATIENTs from pre-intervention (97.7±28.4) to post-intervention (152.5±16.1), and in the group without STANDARDIZED PATIENTs from preintervention (85.7±29.2) to post-intervention (121.3±24.6). The mean difference pre- and postintervention between the group with STANDARDIZED PATIENTs (54.7±22.3) and without standardizedpatients (35.5±28.2) was also significant (p=0.002).Conclusion: The results showed that a training program based on the Ottawa Decision SupportFramework promoted nurses participation in clinical decision-making in both groups, but the WORKSHOPwith STANDARDIZED PATIENTs was more effective in the development of this clinical skill. Applying thiseducational method in service training programs to improve nurse decision-making is recommended, particularly with the use of STANDARDIZED PATIENTs.

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APA: Copy

SHAHRAKI MOGHADDAM, ELHAM, MANZARI, ZAHRASADAT, HESHMATI NABAVI, FATEMEH, & MAZLOM, SEYED REZA. (2016). THE EFFECT OF OTTAWA DECISION SUPPORT FRAMEWORKTRAINING IN AN INTERACTIVE WORKSHOP WITH ANDWITHOUT STANDARDIZED PATIENTS ON CLINICAL DECISIONMAKING OF NURSES IN AN INTENSIVE CARE UNIT. JOURNAL OF URMIA NURSING AND MIDWIFERY FACULTY, 14(1 (78)), 66-77. SID. https://sid.ir/paper/190954/en

Vancouver: Copy

SHAHRAKI MOGHADDAM ELHAM, MANZARI ZAHRASADAT, HESHMATI NABAVI FATEMEH, MAZLOM SEYED REZA. THE EFFECT OF OTTAWA DECISION SUPPORT FRAMEWORKTRAINING IN AN INTERACTIVE WORKSHOP WITH ANDWITHOUT STANDARDIZED PATIENTS ON CLINICAL DECISIONMAKING OF NURSES IN AN INTENSIVE CARE UNIT. JOURNAL OF URMIA NURSING AND MIDWIFERY FACULTY[Internet]. 2016;14(1 (78)):66-77. Available from: https://sid.ir/paper/190954/en

IEEE: Copy

ELHAM SHAHRAKI MOGHADDAM, ZAHRASADAT MANZARI, FATEMEH HESHMATI NABAVI, and SEYED REZA MAZLOM, “THE EFFECT OF OTTAWA DECISION SUPPORT FRAMEWORKTRAINING IN AN INTERACTIVE WORKSHOP WITH ANDWITHOUT STANDARDIZED PATIENTS ON CLINICAL DECISIONMAKING OF NURSES IN AN INTENSIVE CARE UNIT,” JOURNAL OF URMIA NURSING AND MIDWIFERY FACULTY, vol. 14, no. 1 (78), pp. 66–77, 2016, [Online]. Available: https://sid.ir/paper/190954/en

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