Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative Study

Introduction: Clinical decision-making is a key component of clinical practice that affects the quality of providing patient services. The explosion of medical knowledge and the need for autonomy of residents' performance has made clinical decision making more difficult for residents. This stud...

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Main Authors: Mina Hashemiparast, Reza Negarandeh, Reza Ghafari
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences, Medical Education Development Center 2021-04-01
Series:مجله ایرانی آموزش در علوم پزشکی
Subjects:
Online Access:http://ijme.mui.ac.ir/article-1-5267-en.pdf
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author Mina Hashemiparast
Reza Negarandeh
Reza Ghafari
author_facet Mina Hashemiparast
Reza Negarandeh
Reza Ghafari
author_sort Mina Hashemiparast
collection DOAJ
description Introduction: Clinical decision-making is a key component of clinical practice that affects the quality of providing patient services. The explosion of medical knowledge and the need for autonomy of residents' performance has made clinical decision making more difficult for residents. This study explores the experiences of medical residents from clinical decision making. Methods: A qualitative content analysis approach was adopted. Individual semi-structured interviews with medical residents were done. The participants were the medical residents from the hospitals of Tabriz University of medical sciences. Purposive sampling method with the maximum variation was employed. Data collected by individual semi-structured interviews until data saturation and concurrently analyzed. MAXQDA 10 was used to manage the textual data. Results: Three main categories emerged from the experiences of medical residents including, inadequacy of clinical decision making requirements, decision making based on the prevailing conditions in the clinical setting and lack of supportive professional relations. Conclusion: Given that clinical decision making is formed in a structure consisting of the climate of clinical setting, available facilities and equipment as well as professional relationships in workplace; therefore, elimination of barriers requires improving the cultural, educational, professional settings and interpersonal relationship.
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spelling doaj.art-cfa388ae328545ef8dffdc465467647f2023-11-03T16:57:20ZfasIsfahan University of Medical Sciences, Medical Education Development Centerمجله ایرانی آموزش در علوم پزشکی1608-93591735-88922021-04-0121321334Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative StudyMina Hashemiparast0Reza Negarandeh1Reza Ghafari2 Assistant Professor of Health Education and Promotion, Department of Health Promotion and Education, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran Professor of Nursing Education, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran. Assosiate Professor of Medical Education, Medical Education Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Introduction: Clinical decision-making is a key component of clinical practice that affects the quality of providing patient services. The explosion of medical knowledge and the need for autonomy of residents' performance has made clinical decision making more difficult for residents. This study explores the experiences of medical residents from clinical decision making. Methods: A qualitative content analysis approach was adopted. Individual semi-structured interviews with medical residents were done. The participants were the medical residents from the hospitals of Tabriz University of medical sciences. Purposive sampling method with the maximum variation was employed. Data collected by individual semi-structured interviews until data saturation and concurrently analyzed. MAXQDA 10 was used to manage the textual data. Results: Three main categories emerged from the experiences of medical residents including, inadequacy of clinical decision making requirements, decision making based on the prevailing conditions in the clinical setting and lack of supportive professional relations. Conclusion: Given that clinical decision making is formed in a structure consisting of the climate of clinical setting, available facilities and equipment as well as professional relationships in workplace; therefore, elimination of barriers requires improving the cultural, educational, professional settings and interpersonal relationship.http://ijme.mui.ac.ir/article-1-5267-en.pdfclinical decision- makingclinical judgmentmedical residentpatient carequalitative research
spellingShingle Mina Hashemiparast
Reza Negarandeh
Reza Ghafari
Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative Study
مجله ایرانی آموزش در علوم پزشکی
clinical decision- making
clinical judgment
medical resident
patient care
qualitative research
title Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative Study
title_full Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative Study
title_fullStr Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative Study
title_full_unstemmed Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative Study
title_short Exploring the Experiences of Medical Residents from Clinical Decision- Making: A Qualitative Study
title_sort exploring the experiences of medical residents from clinical decision making a qualitative study
topic clinical decision- making
clinical judgment
medical resident
patient care
qualitative research
url http://ijme.mui.ac.ir/article-1-5267-en.pdf
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AT rezaghafari exploringtheexperiencesofmedicalresidentsfromclinicaldecisionmakingaqualitativestudy