Investigating the factors affecting participation in clinical decision-making from viewpoint of physicians and nurses of educational hospitals of Qazvin

Inter-professionals collaboration between nurses and physicians are essential for improving the quality of health care services. The purpose of this study was to determine the factors influencing participation in clinical decision making from the viewpoint of nurses and doctors.

In this cross-sectional study, 140 nurses and 100 Physicians in educational Hospitals to Qazvin University of Medical Sciences were evaluated using two separate researcher-made questionnaires (doctor and nurse versions) in four levels of individual, social, clinical and organizational factors.

The attitude of physicians to participation in clinical decision making in individual (23.07%), social (18.46%), organizational (18.07%), and clinical (16.92%) factors was good. Nurses had good attitude to individual (34.61%) and organizational (34.99%) factors, and medium attitude to social (28.45%) and clinical (26.15%) regarding participation in clinical decision making. The attitude of physicians to factors affecting participation was better than nurses (p<0.001).

Based on the results of this study, the use of proper management practices and the provision of workshops for the implementation of physician- nurses’ contributions is necessary.