Background: In professional nursing practice, decision-making style and self-efficacy are important elements that directly impact patient safety, care equality, and healthcare outcomes. Objective: To examine the relationship between decision-making styles and self-efficacy among nurses in Jordanian hospitals. Methods: A cross-sectional design was used. A convenience sample of 150 nurses was recruited from Jordanian private and governmental hospitals in the central region of Jordan (Amman, Zarqa, and Balqa). The General Self-Efficacy Scale and the Nursing Decision-Making Instrument were used to gather data. Results: 88.7% were categorized as intuitively oriented decision makers, and the overall mean score of nurses’ decision-making styles was high (M=3.74/5). Nurses scored highest in the areas of documenting, anticipating the results of nursing interventions, and conducting structured patient evaluations. Additionally, there was a high level of self-efficacy (M=3.36/4), especially in problem-solving skills and handling clinical problems. Self-efficacy and decision-making styles showed a positive correlation (r=0.412, p<0.001). Significant differences in self-efficacy and decision-making styles were found based on age, years of experience, job title, and educational level. Significantly higher scores were reported in older nurses holding postgraduate degrees, more experienced, and having administrative positions. Nurses’ decision-making styles were significantly predicted by years of experience (β=0.24, p=0.021) and self-efficacy (β=0.34, p<0.001). Conclusions: To improve nurses' confidence, clinical reasoning, and decision-making skills, healthcare organizations should encourage continuous professional development, mentorship, and support structural training programs, which ultimately will improve patient care quality and healthcare outcomes.
Rabia S. Allari, Rahaf Abd Al-Salam Ahmad Allaham, Khulood Batarseh et al.· Al-Rafidain Journal of Medic...· 0 citations
INTRODUCTION
Specialization in nursing is essential to enhance effectiveness, quality, and accessibility of healthcare. Barriers to implementing advanced practice nurses and specialist nurses have been widely reported to limit advanced practice roles in many countries. Identifying these barriers and promoting integration of the role requires an understanding of stakeholders' perspectives. The current study aimed to explore barriers to implementing specialist and advanced specialist nursing roles in Jordan from the perspective of nursing regulators, nursing leaders, and nursing educators.
METHODS
A qualitative descriptive design was used to collect data from a purposive sample of 23 nursing stakeholders from the private and public sectors. Data were collected through in-depth semi-structured interviews using an interview guide developed specifically for this study. Sample adequacy was guided by data saturation. Inductive thematic analysis following Braun and Clarke's 6-step approach was used.
RESULTS
Based on the participants' narratives, findings were classified into four main themes and six sub-themes: (1) Policy and Regulatory Constraints, with two sub-themes: Scope of Practice limitations and Role Ambiguity, (2) Knowledge and Skill Gaps with two sub-themes: Incompetent Graduates and the Nature of Educational Programs, (3) Organizational and Administrative Obstacles with two sub-themes: Inefficient Management Structures and Burdens, and (4) the Reluctance to Implement. In addition, participants proposed recommendations and approaches such as clarifying scope of practice, defining roles, curricular reforms, and creating a supportive organization to facilitate effective role implementation.
CONCLUSION
This study demonstrates that implementation of specialist and advanced specialist roles in Jordan is constrained by educational, regulatory organizational structure gaps, and absence of coordinated policy alignment across all levels. Establishing a collaborative implementation model supported by effective policies is crucial to assist healthcare institutions in overcoming obstacles and barriers and to support the specialized roles in Jordan.
M. Gharaibeh, Rabia S. Allari, Safa A Al-Ashram et al.· Journal of Nursing Scholarsh...· 0 citations
