Galibut, Sheila Marie E.  4  0   <br/><br/>
Clinical decision making skills of the nurses :  basis for enhancing staff development program /      6 
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Sheila Marie E. Galibut 
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<br/><br/>   Thesis (M.A.) Pamantasan ng Lungsod ng Maynila, 2007;A thesis presented to the faculty of the Graduate School of Health Sciences in partial fulfillment of the requirements for the degree of Master of Arts in Nursing 
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<br/><br/> ABSTRACT:  This research attempted to measure the clinical decision making skills of the 91 nurses at Ospital ng Maynila Medical Center (OMMC) to serve as basis for enhancing staff development program. The respondents extent of clinical decision making skills was measured in four (4) key areas: alternatives and options; canvassing of objectives and values; evaluation and re-evaluation of consequences; and, search for information and unbiased assimilation of new information.  One of the objectives of the study was to find out the significant differences in the clinical decision making skills of the respondents in terms of length of service, area of assignment, and highest educational attainment.  To identify the facilitators and barriers in the clinical decision making skills of the respondents was another objective of this research undertaking.  Lastly, the ultimate objective was to formulate an enhanced staff development program.  The descriptive method was employed in this study.  The researcher adapted and modified the Clinical Decision Making Scale by Helen Jenkins (1996) as the major instrument. Percentage and frequency distribution were also used to present the respondents profile in terms of length of service, area of assignment and highest educational attainment.  To determine the extent of the clinical decision making skills of the respondent, the five-point Likert Scale was used.  Analysis of variance was also used to determine the significant difference in the clinical decision making skills in terms of length of service, area of assignment and the highest educational attainment.  Findings in the study in terms of years of experience revealed that out of 91 respondents, most of the respondents belonged to the 5 years and above while in the area of assignment.  Clinical area has the most number of nurses and, by highest educational attainment, most of the nurses belonged to the BSN group.  The respondents clinical decision making skills in terms of search for information and unbiased assimilation of new information had the highest weighted mean and was verbally interpreted as high.  Findings also showed that at alpha level of 0.05, a significant difference was noted in the clinical decision making skills of the respondents in terms of length of service, area of assignment and highest educational attainment since the computed value of F-ratio is greater than the critical value of 3.23.  Moreover, the No. 1 most common facilitator identified by the respondents to clinical decision making is the proper use of knowledge. Lastly, the no. 1 most common barrier to clinical decision making of the respondents is the inadequate supply.  Thus, on the basis of the results, a proposed staff development program was developed to enhance the decision making skills of the nurses at OMMC.       
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