“…Clinical decision-making is arguably different in the ICU given the nature of critical illness, demanding intensive care of both patient and family (Bucknall & Thomas, 1995). (Stichler, 2009;Suominen, Leino-Kilpi, Merja, Doran, & Puukka, 2001;Varjus, Suominen, & Leino-Kilpi, 2003). In particular, it has been reported that ICU nurses possessed self-confidence in skills and competencies and that job autonomy increased with age and experience (Suominen, et al, 2001).…”