Evidence map›Paper›PMID 40797220›Full record

ArticleBMC health services research2025

Investigating the level of nurses' participation in physicians' clinical decisions and the factors affecting it: evidence from a cross-sectional study from nurses' perspectives.

Shima Bordbar, Maryam Radinmanesh, Jamshid Bahmaei, Hamidreza Farhadi Rad, Ali Reza Yusefi

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Shima BordbarHealth Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Maryam RadinmaneshHealth Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.
Jamshid BahmaeiDepartment of Public Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
Hamidreza Farhadi RadStudent Research Committee, Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran.
Ali Reza YusefiDepartment of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran. alirezayusefi67@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterprofessional collaboration and participation of physicians and nurses in clinical decisions can be an important indicator in increasing the quality of safe care in hospitals. This study was conducted to investigate the level of nurses' participation in physicians' clinical decisions and the factors affecting it from the perspectives of nurses working in teaching hospitals affiliated with Shiraz University of Medical Sciences in southern Iran.

methodsThis descriptive-analytical cross-sectional study was conducted on 385 nurses from January to April 2024. The data collection tool was standard questionnaires. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression using SPSS23 software at a significance level of 0.05.

resultsThe mean scores of nurses' participation in physicians' clinical decisions and the factors affecting this participation were 41.12 ± 6.57 out of 75 and 84.32 ± 8.16 out of 150, respectively, which indicated the moderate status of these two. Between the amount of nurses' participation in physicians' clinical decisions and factors affecting this participation, including individual factors (P < 0.001, r = 0.825), social factors (P < 0.001, r = 0.784), organizational factors (P < 0.001, r = 0.766), and clinical factors (P < 0.001, r = 0.759), a statistically significant correlation was observed. Furthermore, individual (β = 0.721; CI = 0.400-1.042), social (β = 0.691; CI = 0.395-0.987), organizational (β = 0.664; CI = 0.374-0.954), and clinical (β = 0.639; CI = 0.381-0.897) factors were found to be significantly associated with nurses' participation in doctors' clinical decisions (P < 0.001). In addition, age (β = 0.213; CI = 0.025-0.401) and work experience (β = 0.194; CI = 0.047-0.341) also showed significant associations with the outcome (P < 0.05).

conclusionBased on the results, the improvement of individual, social, organizational, and clinical factors may be associated with increasing nurses' participation in physicians' clinical decisions. It is recommended that nurses' participation in clinical decisions be emphasized by holding ongoing training courses such as collaborative management, conflict management, and evidence-based decision-making for physicians. Hospital managers should also train and improve communication skills between physicians and nurses by holding periodic courses and seminars in hospitals. The findings of this study can be a basis for planning to improve the status of nurses' participation in physicians' clinical decisions in hospitals.

Indexed as

Clinical Decision-MakingNursing Staff, HospitalPhysician-Nurse RelationsPhysiciansAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHospitals, TeachingHumansIranMaleMiddle AgedSurveys and QuestionnairesCommunicationDecision makingHospitalsIranNursesPhysicians

Identifiers

PMID40797220
PMCPMC12341254

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.