Clinical Decision Making of Nurses Working in Hospital Settings

Abstract

This study analyzed nurses' perceptions of clinical decision making (CDM) in their clinical practice and compared differences in decision making related to nurse demographic and contextual variables. A cross-sectional survey was carried out with 2095 nurses in four hospitals in Norway. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Data were analyzed with descriptive frequencies, t-tests, Chi-Square test, and linear regression. Nurses' decision making was categorized into analytic-systematic, intuitive-interpretive, and quasi-rational models of CDM. Most nurses reported the use of quasi-rational models during CDM thereby supporting the tenet that cognition most often includes properties of both analysis and intuition. Increased use of intuitive-interpretive models of CDM was associated with years in present job, further education, male gender, higher age, and working in predominantly surgical units.

Clinical decision-making among new graduate nurses attending residency programs in Saudi Arabia

“…This study findings support studies in the nursing literature that a residency program can have a positive impact on clinical decision-making (AL-Dossary et al, 2014: Bratt, 2013Bratt & Felzer, 2011Higuchi & Donald, 2002;Oermann & Garvin, 2002;Siew Eng et al, 2011;Torunn Bjørk & Hamilton, 2011). The findings of this study have implications for education, administration, and research; each recommendation is discussed and provided below based on the study's findings.…”

“…Age, overall GPA, and enrollment in a residency program were the primary variables in this study since in the nursing literature it was found that they predict clinical decisionmaking skills (AL-Dossary et al, 2014: Bratt, 2013Bratt & Felzer, 2011Higuchi & Donald, 2002;Oermann & Garvin, 2002;Siew Eng et al, 2011;Torunn Bjørk & Hamilton, 2011). Although marital status has been found to shown…”

High fidelity full sized human patient simulation manikins: Effects on decision making skills of nursing students

“…Although the instrument has not been intensely validated, it has been used on 2095 nurses in 4 Norway hospitals and a Crobanch's alpha of 0.863 was established [32] . The Crobanch's alpha in the current study was 0.760.…”

Survey sources of knowledge used by intensive care nurses in clinical knowledge source used in nursing practice

“…* Central concept in nursing is care (Meleis, 2012) and clinical decision making forms the basis of patient care (Torunn and Hamilton, 2011). Nurses must be familiar with new methods to provide appropriate care for patients (Solomons and Spross, 2011), and use different sources of knowledge (Estabrooks et al, 2005) as well as the best evidence to make decision (Majid et al, 2011).…”

“…With progresses in technology and science and changing condition of patients, it is required that nurses combine their technical skills, professional knowledge and evidence -based in their practice, and base their practice (Kahouei et al, 2012) on research and evidence (Neak Peima and Izadi, 2011). Nurses should make appropriate decision to provide better care for patients, and to do so, they need to use several of information and valid knowledge resources (Torunn and Hamilton, 2011). An important point is that, nurse should pay attention to level of resources and use first level and high quality evidence and researched-based knowledge that is found in valid databases (Kahouei et al, 2012).…”