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Clinical Decision Making of Nurses Working in Hospital Settings

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  • Ida Torunn Bjørk
  • Glenys A. Hamilton

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.

Suggested Citation

  • 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.
    • Handle: RePEc:hin:jnlnrp:524918
    DOI: 10.1155/2011/524918
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    1. Goldstein,William M. & Hogarth,Robin M. (ed.), 1997. "Research on Judgment and Decision Making," Cambridge Books, Cambridge University Press, number 9780521483346, October.
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    1. Daphne SK Lee & Khatijah Lim Abdullah & Pathmawathi Subramanian & Robert Thomas Bachmann & Swee Leong Ong, 2017. "An integrated review of the correlation between critical thinking ability and clinical decision‐making in nursing," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4065-4079, December.
    2. The‐Phung To & Gillian Dunnachie & Jo‐anne Brien & David A. Story, 2019. "Surgical nurses' perceptions and experiences of a medications and oral restrictions policy change: A focus group study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3242-3251, September.
    3. 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.
    4. Nikolina Farčić & Ivana Barać & Jadranka Plužarić & Vesna Ilakovac & Stana Pačarić & Zvjezdana Gvozdanović & Robert Lovrić, 2020. "Personality traits of core self-evaluation as predictors on clinical decision-making in nursing profession," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-12, May.

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