RESUMEN
Introduction: Quality evaluation and clinical decision making education are two important elements in health personnel's decision-making status. PMP [Patient Management Problem] is one of the clinical decision making methods in which some clinical conditions are taken from a disease and are put forward in the form of a multi stage question. This study has tried using computerized PMP to evaluate midwifery students' clinical decision making
Methods: In a cross-sectional census study, 40 Senior BS midwifery students from Tehran, Iran and Shahid Behshti Medical Universities were studied. Computerized PMP questionnaire, including 9 imagined clients referring for preconception care designed in a software program was given to the subjects to fill. The data were analyzed by descriptive, and multiple regression in SPSS software
Results: The mean score taken by the studied students was 35.62+/-7.01 out of 100 scores. Most of the subjects had average clinical decision-making. The acquired mean score of the subjects in risk assessment, in education and counseling and in intervention were as 40.17 +/-9.14, 31.87+/-10.23 and 31.42+/-13.77 respectively. Most of the subjects had average clinical decision making in these three fields
Discussion: Since clinical decision making as a major element in enhancement of health team services as well as midwifery students' services can be evaluated and taught by PMP and as most of the studied subjects regarding preconception care were not in an appropriate level, more precise education in this field seems essential