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2 Kerman University of Medical Sciences Faculty of Nursing and Midwifery Fulfiilrrent Of The Requirerrents For The Degree (lt4sc) Title: The relationship betrveen occulrational stress and clinical decision nraking in critical care nurses of Hospitals of Kenran Unir,'ersifv of N4edical Sciences r016 B)' Najmeh khatoon Shoaei Su perr.iso r: Dr Esmat \oohi Advisor/s: 1-Dr Roghayeh Mehdipour i't,?po{4, I At^\ ", /..z n;wffi, ru-*-ryi/' 6fi '' 2- Dr Armita Shahesmaeili Year: 2017

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5 -\ lr stract :l:ckground & Objective: Nurses. as the largest group of health care providers suffer from a., i stress in their u,ork enviromrent u,hich directl-v ai'fects the quaiitl, of care. Considering :. :ioper clinical decision making has a significant impact on the qualitl,of nursing care and -,.i-n. leads to iogical care planninq u,ith tlie rnarimurn probability of success in nursins --.:rices. given the increasins importance of clinical decision making. tl'ie recognition of -: :i ant factors rvith it including job stress seenls necessar\'. The airl of this studv u'as to -.:ert'nine tlre relationship betu,een"job stress and clinical decision making of nurses in special,:r3rtments (lcu. ICLI) in Kenran Llniversin,of \4edical Sciences hospital in \lethods: This cross-sectiorlal studr,u'as a descriptire-correlational stud\,. Tlie research : '-.ulation included al1 nursing staff of intensive cele un jts ilcl. CCU) in Kerman l\4edical., ences Hospital in The total nurntrer o1'the population is l7i people. The sample siz-e,ire researcl'i u'as also calculated as 130 people using the standard f'ornrula ol correlation, -.Jies and according to sirlultaneous rlleasurellents of derroaraphic raria'nles. frio Osipon'.': Stress and Lar:ri & Salalltera Clinical f)ecision N4aking questionnaire-s \\ere LlsL'd 1'or data -,lection. Data analr,sis u'as perfonred using descriptive statistics such as fi'equencr' -.::ibution (nunrber and percentage) and standard deviation and inf'erential statistics such as l.-pendent t-test. one-\\a1, ANO\zA and Pearson correlation coefflcient. R.esults: The mean of total score of.iob stress u,as ( ::9.,11) arrd tire mean ol total -.:rical decision-making score ivas ( ) and there \\as a significant and neqative -.:-l'elation betu,een job stress arid clirrical decision rraking 1r:-017 and p.r'alue: 0.001) so -:i the clinical decision-nraking is reduced bl,increasin_s the lerel of occupational stress. tli,nclusion: Accordirig to the results of this studf in the erent of increased occupational,. -ss. tire level of clinical decision-nraking is reduced: therefore. decisions should be made to -:i-rce the level of occupational stress in nurses and increase the abilitv to rnake the riqht :.-.sjon to enhance the nursing care provided to patients. Kenlords: Nurse. Inlensir,e care unit. Occupational stress. Clinical decision makirig ril'\r 'l.1f,.i 11 ll o," "\'F '*, b./i!' ; {\\'n -; \-* 1 ''-) ki.i,1",- i, ". $Tld." *-'X-

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