title: [A study on participation in clinical decision making by home healthcare nurses].
abstract: OBJECTIVE
  This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making.
  
  
  METHODS
  A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.
  
  
  RESULTS
  Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses.
  
  
  CONCLUSIONS
  In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses' participation in clinical decision making in cases where they can identify and solve the patient health problems.
authors.affiliation: College of Nursing, Eulji University, 143-5 Yongdu-dong, Jung-gu, Daejeon 301-746, Korea. sarakimk@yahoo.co.kr
authors.forename: Se Young
authors.initials: SY
authors.lastname: Kim
mesh_terms: D000328:Adult; D017028:Caregivers / Q000523:psychology; D003152:Community Health Nursing; D006699:Home Care Services; D006701:Home Nursing; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009733:Nursing Diagnosis; D016017:Odds Ratio; D011795:Surveys and Questionnaires