Decision Making in Nursing Practice: A Concept Analysis

Johansen, Mary L.; O'Brien, Janice L.

doi:10.1111/nuf.12119

Cited by 139 publications

(149 citation statements)

References 52 publications

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“…In congruence with these present study findings, [26] in a study in Lebanese, found that Nurses were reported moderate levels of burnout. As well as, findings of Lin et al [27] showed moderate levels of Emotional Exhaustion and Personal Accomplishment, and low levels Depersonalization.…”

Section: Discussionmentioning

confidence: 84%

Achievement motivation and its relation to nurses’ decision making believes, ability, and job burnout at obstetric and gynecological departments

Sayed

Ali

2017

CNS

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Objective: Challenges in todays' work environment require professional competent nurses not only educated well but being creative, have a desire to achieve success, able to work under pressure, and accomplish the organizational and personal goals. Aim of the study: The study was aimed at assessing nurses' achievement motivation and its relation to their decision making beliefs, ability, and job burnout at obstetrics and gynecological departments. Methods: Setting: This study was conducted in Port Said governorate, Egypt. Design: A descriptive co-relational research design was used. Subjects: Consisted of all staff nurses working in all obstetric and gynecologic departments affiliated to ministry of health, with a total number of 75 nurse. Tools: Achievement Motivation Scale (AMS), decision making beliefs, decision making ability questionnaire, and job burnout scale. Results: The study revealed that nurses' age ranged between 22 and 60 years. The majority of nurses were holding a nursing diploma. More than three quarters of nurses have achievement motivation and having well beliefs about decision making. The total mean score for decision making ability was 74.2 ± 7.3. Nearly half of nurses evaluated in this study have burnout. Conclusions: A significant correlation between achievement motivation and decision making ability while no statistically significant correlation was detected between achievement motivation and both of decision making beliefs and total score of job burnout. Recommendations: Strategies for the preservation and promotion of achievement motivation is very important. In addition, this study recommended in the different nursing departments to identify and influence achievement motivation among nursing staff.

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Section: Discussionmentioning

confidence: 84%

Achievement motivation and its relation to nurses’ decision making believes, ability, and job burnout at obstetric and gynecological departments

Sayed

Ali

2017

CNS

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“…Decision-making by nurses is a complex, dynamic and inseparable process of their training; its commitment is considering factors that, when combined, potentiate the quality of the decision and can affect the patient's prognosis and safety; these being: psychological, cognitive, and analytical aspects, information, situations and intuition 11 .…”

Section: Discussionmentioning

confidence: 99%

Translation and cross-cultural adaptation of the Clinical Competence Questionnaire for use in Brazil

Kwiatkoski

Mantovani

Pereira

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:translating and transculturally adapting the Clinical Competence Questionnaire to Brazilian senior undergraduate Nursing students, as well as measuring psychometric properties of the questionnaire. Method:a methodological study carried out in six steps: translation of the Clinical Competence Questionnaire instrument, consensus of the translations, back-translation, analysis by an expert committee, pre-testing and then presentation of the cross-cultural adaptation process to the developers. Psychometric properties were measured using Cronbach's alpha, intraclass correlation coefficient and content validity index. Results:the instrument was translated, transculturally adapted and its final version consisted of 48 items. Cronbach's alpha coefficient was 0.90, and the agreement index of the items was 99% for students and 98% for evaluators. Conclusion:the Clinical Competence Questionnaire was translated and adapted to Brazilian students, and the psychometric properties of the Portuguese version of the questionnaire presented satisfactory internal consistency regarding the studied sample.

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Section: Figurementioning

confidence: 99%

“…To guide this study, a model of decision-making (Johansen & O’Brien, 2016) was adapted and superimposed with a socio-ecological lens (McLeroy, Bibeau, Steckler, & Glanz, 1988) that illustrates the contextual factors influencing visit plan development and implementation (see Figure 1). Decision-making is a cyclical and recursive process whereby decisions are reevaluated to be reaffirmed or replaced with other options by engaging in a new decision-making process (Johansen & O’Brien, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Decision-making is a cyclical and recursive process whereby decisions are reevaluated to be reaffirmed or replaced with other options by engaging in a new decision-making process (Johansen & O’Brien, 2016). The addition of a socio-ecological lens provides the ability to account for multidimensional interactions that are nonlinear and/or reciprocal among several factors—micro-level (nurse and patient), meso-level (agency), and macro-level (policy/payer) —that influence the processes of developing and implementing a visit plan.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Home health nurse decision-making regarding visit intensity planning for newly admitted patients: a qualitative descriptive study

Irani

Hirschman

Cacchione

et al. 2018

Home Health Care Services Quarterly

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Despite patients referred to home health having diverse and complex needs, it is unknown how nurses develop personalized visit plans. In this qualitative descriptive study, we interviewed 26 nurses from three agencies about their decision-making process to determine visit intensity and analyzed data using directed content analysis. Following a multifactorial assessment of the patient, nurses relied on their experience and their agency’s protocols to develop the personalized visit plan. They revised the plan based on changes in the patient’s clinical condition, engagement, and caregiver availability. Findings suggest strategies to improve visit planning and positively influence outcomes of home health patients.

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Decision Making in Nursing Practice: A Concept Analysis

Cited by 139 publications

References 52 publications

Achievement motivation and its relation to nurses’ decision making believes, ability, and job burnout at obstetric and gynecological departments

Achievement motivation and its relation to nurses’ decision making believes, ability, and job burnout at obstetric and gynecological departments

Translation and cross-cultural adaptation of the Clinical Competence Questionnaire for use in Brazil

Home health nurse decision-making regarding visit intensity planning for newly admitted patients: a qualitative descriptive study

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