Changes in decision‐making among Italian nurses and nursing students over the last 15 years

Abstract

All transformations in training in university-level teaching of nursing show that decision-making skills are continually and significantly worsening. These results are of special interest in view of changes in professional and educational systems.

The effect of web‐based education on the self‐confidence and anxiety levels of paediatric nursing interns in the clinical decision‐making process

“…To date, no study has examined the effects of web‐based education on the self‐confidence levels of paediatric nursing students in the clinical decision‐making process. However, previous studies have shown the effects of computer‐aided and other education models on the self‐confidence levels of nursing students in the clinical decision‐making process (Bean, ; Canova, Brogiato, Roveron, & Zanotti, ; Cobbett & Snelgrove‐Clarke, ; Coram, ; Durmaz et al, ; Forbes, Bucknall, & Hutchinson, ; Ross & Carney, ; Thompson & Stapley, ; Warren, ). A study performed by Durmaz et al () in Turkey as a part of his doctoral dissertation showed that a computer‐assisted training program moderately affected the self‐confidence of second‐grade nursing students in making clinical decisions, but no significant difference was observed in the self‐confidence posttest mean scores between the experimental and control groups in the clinical decision‐making process (Durmaz et al, ).…”

“…There was a significant difference between the pretest and posttest mean self‐confidence scores in both the experimental and control groups ( p < 0.05, Table ). Various factors affect the self‐confidence levels of students in making clinical decisions (Bean, ; Canova et al, ; Cobbett & Snelgrove‐Clarke, ; Coram, ; Durmaz et al, ; Forbes et al, ; Ross & Carney, ; Thompson & Stapley, ; Warren, ). This study suggests that a significant increase in the self‐confidence scores of the control group may be because of their nursing intern program, the common compulsory and elective courses taken by them, and the guidance given by the instructors during their clinical practice.…”

Situation awareness and the decision‐making processes of final‐year nursing students

“…Wolfe () reported decision‐making errors related to documentation and communication, not following policy and not asking questions when information was needed, and noted that error rates with medications increased over the period of her study. Of concern, in a study by Canova, Brogiato, Roveron, and Zanotti (), it was suggested that over a 10‐year time period that nursing students' demonstrated a reduction in clinical decision‐making ability. There is also literature related to issues with novice and new graduate nurses' decision‐making, for example, Saintsing, Gibson, and Pennington (), and between 49%–53% of novice nurses are involved in making errors related to provision of nursing care.…”

“…Of concern, in a study by Canova, Brogiato, Roveron, and Zanotti (2016), it was suggested that over a 10-year time period that nursing students' demonstrated a reduction in clinical decision-making ability. There is also literature related to issues with novice and new graduate nurses' decision-making, for example, Saintsing, Gibson, and Pennington (2011), and between 49%-53% of novice nurses are involved in making errors related to provision of nursing care.…”

Decision making from the perspective of nursing students

“…The development of decision-making skills has become an increasing area of nursing education, leading to a strong impact on international studies (11) . The context of the studies has addressed from the most appropriate pedagogical methods to teach decision-making (5,(8)(9)(12)(13)(14) up to the type of reasoning used in the decision learning on the care to be provided (4,7,(15)(16)(17) , as well as the development of this skill throughout education (18) .…”