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The Influence of Self-Concept on Clinical Decision-Making in Nurses and Nursing Students: A Cross-Sectional Study

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  • Nikolina Farčić

    (Nursing Institute “ Professor Radivoje Radić ”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
    Department of Surgery, University Hospital Centre Osijek, 31 000 Osijek, Croatia
    Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia)

  • Ivana Barać

    (Nursing Institute “ Professor Radivoje Radić ”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia)

  • Robert Lovrić

    (Nursing Institute “ Professor Radivoje Radić ”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia)

  • Stana Pačarić

    (Nursing Institute “ Professor Radivoje Radić ”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
    Department of Surgery, University Hospital Centre Osijek, 31 000 Osijek, Croatia
    Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia)

  • Zvjezdana Gvozdanović

    (Nursing Institute “ Professor Radivoje Radić ”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
    Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
    General County Hospital Našice, 31 500 Našice, Croatia)

  • Vesna Ilakovac

    (Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia)

Abstract

The aim of this study is to examine the influence of nurses’ self-concept (NSC) on clinical decision-making (CDM) among nursing students and hospital nurses. A further aim is to examine whether there is a difference in CDM and NSC between hospital nurses with various levels of experience and nursing students. A cross-sectional study was conducted during 2018 in the Faculty of Dental Medicine and Health and the University Hospital Center, in Osijek, Croatia, EU. The respondents consisted of 568 hospital nurses, and 129 BSc nursing students. Data were collected with the clinical decision-making in nursing scale (CDMNS) and the nurses’ self-concept questionnaire (NSCQ). There was no correlation between CDM and NSC in either students or hospital nurses. Hospital nurses generally had significantly higher scores in CDM than nursing students. On the other hand, students had a significantly higher total NSC level. The results of this study suggest that experience has a positive impact on nurses’ CDM skills. The high NSC estimated by students enables them to easily take up their clinical roles and approach the patient in a holistic manner, which is an attitude that gradually develops during studies and with clinical experience.

Suggested Citation

  • Nikolina Farčić & Ivana Barać & Robert Lovrić & Stana Pačarić & Zvjezdana Gvozdanović & Vesna Ilakovac, 2020. "The Influence of Self-Concept on Clinical Decision-Making in Nurses and Nursing Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3059-:d:351459
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    References listed on IDEAS

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    1. Cristina Canova & Giorgio Brogiato & Gabriele Roveron & Renzo Zanotti, 2016. "Changes in decision‐making among Italian nurses and nursing students over the last 15 years," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(5-6), pages 811-818, March.
    2. Christine W. Nibbelink & Barbara B. Brewer, 2018. "Decision‐making in nursing practice: An integrative literature review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 917-928, March.
    3. Ida Torunn Bjørk & Glenys A. Hamilton, 2011. "Clinical Decision Making of Nurses Working in Hospital Settings," Nursing Research and Practice, Hindawi, vol. 2011, pages 1-8, September.
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