fa تصمیم گیری بالینی در پرستاران ایرانی: مرور سیستماتیک تخصصي Special پژوهشي Research <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تصمیم گیری بالینی یکی از مهم ترین فرایندهایی اســت که همواره پرستاران برای مراقبت از بیماران اســتفاده می کنند. تصمیم های مناسب به بهبود کیفیت مراقبت، کاهش مدت زمان بیماری و ناتوانی، کاهش هزینه و استفاده بهینه از منابع کمک می نماید. لذا </span></span></span><span b="" lang="FA" nazanin="" style="font-family:">هدف</span> <span b="" lang="FA" nazanin="" style="font-family:">این</span> <span b="" lang="FA" nazanin="" style="font-family:">مطالعه</span> <span b="" lang="FA" nazanin="" style="font-family:">مروری</span> <span b="" lang="FA" nazanin="" style="font-family:">بر</span> <span b="" lang="FA" nazanin="" style="font-family:">مطالعات</span> <span b="" lang="FA" nazanin="" style="font-family:">انجام</span> <span b="" lang="FA" nazanin="" style="font-family:">شده</span> <span b="" lang="FA" nazanin="" style="font-family:">در</span> <span b="" lang="FA" nazanin="" style="font-family:">زمینه</span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تصمیم گیری بالینی پرستاران </span></span></span><span b="" lang="FA" nazanin="" style="font-family:">ایرانی</span> <span b="" lang="FA" nazanin="" style="font-family:">و عوامل مرتبط </span><span b="" lang="FA" nazanin="" style="font-family:">است</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">روش کار:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> مطالعه حاضر مرور سیستماتیک بوده که در سال 1400 انجام شده است. در این مطالعه،</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقالات منتشر شده بدون محدودیت زمانی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در پایگاههای </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Magiran</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Iran doc </span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">&nbsp;،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">SID</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Science Direct</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Pub med</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Scopus</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">web of science</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Google Scholar</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> به دو زبان فارسی و انگلیسی مورد بررسی قرار گرفتند. به این منظور کلمات کلیدی تصمیم گیری بالینی و پرستار در منابع فارسی و </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">clinical decision making</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> ،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">nurse</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> و </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Iran</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> و معادلهای </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">Mesh</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> آن در مقالات انگلیسی با استفاده از عملکرهای </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:TimesNewRomanPSMT">OR </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:BMitra">و</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:TimesNewRomanPSMT">AND</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مورد استفاده قرار گرفت. انجام پژوهش در ایران مهمترین معیار ورود به مطالعه بود بر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">این</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">اساس</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">از مجموع 144 مقاله مرتبط</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">&nbsp;تصمیم گیری بالینی پرستاران در ایران پس از اعمال معیارهای ورود و خروج، 49 مقاله باقی ماند که با</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">حذف</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">موارد</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تکراری در نهایت 21 مقاله وارد مطالعه شد.جهت</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">بررسی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">کیفیت</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقالات</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">ابزار</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"> STROBE </span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">استفاده</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">شد</span></span></span><span dir="LTR" style="font-family:BNazanin">.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافته ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> از مجموع 144مقاله بدست آمده اولیه، 21 مقاله مورد تجزیه و تحلیل قرار گرفت. نتایج تجزیه و تحلیل 21 مقاله نشان داد که مشارکت در تصمیم گیری بالینی پرستاران در حد متوسط می باشد و تصمیم گیری انها از نوع تحلیلی شهودی می باشد پرستاران با سن بالاتر، سابقه کاری بیشتر و استخدام های رسمی و &nbsp;پیمانی، تصمیم گیری بالینی بهتری داشتند. &nbsp;&nbsp;همچنین ارتباط آماری &nbsp;مثبت معنا دار بین تصمیم گیری بالینی با متغیرهای خود کارآمدی، نوع سبک تفکر و هوش هیجانی گزارش شده است.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتیجه گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> &nbsp;جهت ارتقاء کیفیت پرستاری مسئولین نظام سلامت&nbsp; باید در بکارگیری و چیدمان پرستاران، &nbsp;به &nbsp;نوع&nbsp; تصمیم گیری،&nbsp; وضعیت هوش هیجانی، خودکارآمدی و&nbsp; نوع تفکر آنها توجه نمایند . بعلاوه مدیران پرستاری برای بخش ها و سمت هایی که نیاز به تصمیم گیری بالینی بیشتر و بهتر است، از پرستاران دارا ی سن بالاتر، &nbsp;سابق کار بیشتر و استخدامی ها استفاده نمایند</span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> Clinical decision making is one of the most important processes which nurses always use to care for patients. Appropriate decisions help to improve the quality of care, reduce the duration of illness and disability, reduce costs and make optimal use of resources. Therefore, the purpose of this research was to review studies conducted in the field of clinical decision making of Iranian nurses and its related factors.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> The present study was a systematic review conducted in 2021. In this research, articles published in databases of Magiran, Iran doc, SID, Science Direct, Pub med, Scopus, web of science, and Google Scholar in both Persian and English without any time limit were examined. For this purpose, the keywords &ldquo;clinical decision making&rdquo; and &ldquo;nurse&rdquo; in Persian sources and &ldquo;clinical decision making&rdquo;, &ldquo;nurse&rdquo;, &ldquo;Iran&rdquo; and their MeSH equivalents in English articles were applied using OR and AND operators. Conducting research in Iran was the most important inclusion criterion.</span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Accordingly, out of a total of 144 articles related to clinical decision making of nurses in Iran, 49 ones remained after applying the inclusion and exclusion criteria, and by eliminating duplicate cases, 21 articles were finally included in the study. STROBE tool was used to evaluate the quality of articles.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Out of 144 initial articles, 21 studies were analyzed. The results of the analysis of 21 articles showed that nurses&#39; participation in clinical decision making was moderate and their decision making was intuitive analytical. Nurses with older ages, more work experiences and employed formally and contractually had better clinical decision making. There was also a statistically significant positive association between clinical decision making and the variables of self-efficacy, the thinking style and emotional intelligence.</span></span></span></span></span></span></span><br> <b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> In order to improve the quality of nursing, health system officials should pay attention to the employment and arrangement of nurses, their type of decision making, state of emotional intelligence, self-efficacy and style of thinking. In addition, nursing managers should employ nurses with older ages, and more work experiences, as well as formally employed ones for wards and posts which require more and better clinical decision making</span></span></span> تصمیم گیری بالینی, پرستار, ایران clinical decision making, Nurse, Iran 1 13 http://ijnv.ir/browse.php?a_code=A-10-1455-1&slc_lang=fa&sid=1 tayebeh moradi طیبه مرادی moradi.t1995@yahoo.com 100319475328460013122 100319475328460013122 No عضو هیات علمی گروه پرستاری، دانشگاه آزاد اسلامی واحد کاشان khadijeh sharifi خدیجه شریفی sharifi81@yahoo.com 100319475328460013123 100319475328460013123 Yes مرکزتحقیقات ترومای پرستاری