Abstract
<title>Abstract</title> <p> <bold>Introduction</bold> Clinical decision making is a complicated cognitive process that nurses use as a method for solving problems. It involves the synthesis of information from several sources, including analysis, interpretation, explanation, inquiry, evaluation, communication, experience, and observation. <bold>Objective</bold> To assess nurse’s clinical decision making approach and associated factors among nurses working in south west shoa zone hospitals Oromia Region, Ethiopia 2023. <bold>Methods</bold> An institutional-based cross-sectional study was conducted from July to August. Data was gathered using a pretested, structured, self-administered questionnaire and by trained data collectors. Data was entered into Epidata version 3.1 and exported to the statistical package for social science version 25.0 for analysis. Binary logistic regression model were used to identify associated factors. Factors with p-value of less than 0.25 in bivariable analysis were transferred to multivariable logistic regression to identify factors associated with the outcome variables. Statistical significance was considered at p-value ≤ 0.05 and using 95% of confidence interval. The model fitness was tested by using the Hosmer-Lemeshow goodness of fit test. <bold>Results</bold> Among the total participants, 47.2% had intuitive and 52.8% had analytical decision-making approaches. Studying nursing by regular program at colleges (AOR = 2.052, 95% CI (1.077, 3.910)), having Low workload (AOR = 1.784, 95%CI (0.999, 3.187)) and having training (AOR = 2.546 95%CI (1.331, 4.870)) were significantly associated with intuitive clinical decision making. <bold>Conclusion</bold> Compared to the majority of earlier studies, the intuitive decision-making approach was less prevalent. The intuitive decision-making method was associated with variables including low workload in the working unit, training on clinical decision-making and studying nursing through regular programs at colleges. </p>