title: Clinical decision-making among new graduate nurses attending residency programs in Saudi Arabia.
abstract: OBJECTIVE
  This study examined the impact of residency programs on clinical decision-making of new Saudi graduate nurses who completed a residency program compared to new Saudi graduate nurses who did not participate in residency programs.
  
  
  METHODS
  This descriptive study employed a convenience sample (N=98) of new graduate nurses from three hospitals in Saudi Arabia. A self-administered questionnaire was used to collect data. Clinical decision-making skills were measured using the Clinical Decision Making in Nursing Scale.
  
  
  METHODS
  Descriptive statistics, independent t-tests, and multiple linear regression analysis were utilized to examine the effect of residency programs on new graduate nurses' clinical decision-making skills.
  
  
  RESULTS
  On average, resident nurses had significantly higher levels of clinical decision-making skills than non-residents (t=23.25, p=0.000). Enrollment in a residency program explained 86.9% of the variance in total clinical decision making controlling for age and overall grade point average.
  
  
  CONCLUSIONS
  The findings of this study support evidence in the nursing literature conducted primarily in the US and Europe that residency programs have a positive influence on new graduate nurses' clinical decision-making skills.
  
  
  CONCLUSIONS
  This is the first study to examine the impact of residency programs on clinical decision-making among new Saudi graduate nurses who completed a residency program. The findings of this study underscore the need for the development and implementation of residency programs for all new nurses.
authors: Dammam University, Dammam, Saudi Arabia; George Mason University, Fairfax, VA, 22030-4444, USA. Electronic address: rm_aldossary@hotmail.com.
authors: Reem Nassar
authors: RN
authors: Al-Dossary
authors: Department of Health Administration and Policy, George Mason University, Fairfax, VA, 22030-4444, USA. Electronic address: pkitsant@gmu.edu.
authors: Panagiota
authors: P
authors: Kitsantas
authors: Department of Health Administration and Policy, George Mason University, Fairfax, VA, 22030-4444, USA. Electronic address: pmaddox@gmu.edu.
authors: P J
authors: PJ
authors: Maddox
mesh_terms: D000328:Adult; D003657:Decision Making; D004511:Education, Nursing, Graduate; D005260:Female; D006801:Humans; D007397:Internship, Nonmedical; D008297:Male; D012529:Saudi Arabia; D011795:Surveys and Questionnaires
keywords: Clinical decision-making; Decision-making; New graduate nurses; Residency; Residency programs; Saudi Arabia