Clinical Decision Making of Nurses Working in Hospital Settings
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-ite...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/524918 |
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| _version_ | 1832566108841836544 |
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| author | Ida Torunn Bjørk Glenys A. Hamilton |
| author_facet | Ida Torunn Bjørk Glenys A. Hamilton |
| author_sort | Ida Torunn Bjørk |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-05ddf769b89e4c5db62519d3d5708776 |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-05ddf769b89e4c5db62519d3d57087762025-02-03T01:04:55ZengWileyNursing Research and Practice2090-14292090-14372011-01-01201110.1155/2011/524918524918Clinical Decision Making of Nurses Working in Hospital SettingsIda Torunn Bjørk0Glenys A. Hamilton1Department of Nursing Science, University of Oslo, Postboks 1153, Blindern, 0318 Oslo, NorwayResearch Department, GAH Consulting, 601 George Hill Road, Lancaster, MA 01523, USAThis 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.http://dx.doi.org/10.1155/2011/524918 |
| spellingShingle | Ida Torunn Bjørk Glenys A. Hamilton Clinical Decision Making of Nurses Working in Hospital Settings Nursing Research and Practice |
| title | Clinical Decision Making of Nurses Working in Hospital Settings |
| title_full | Clinical Decision Making of Nurses Working in Hospital Settings |
| title_fullStr | Clinical Decision Making of Nurses Working in Hospital Settings |
| title_full_unstemmed | Clinical Decision Making of Nurses Working in Hospital Settings |
| title_short | Clinical Decision Making of Nurses Working in Hospital Settings |
| title_sort | clinical decision making of nurses working in hospital settings |
| url | http://dx.doi.org/10.1155/2011/524918 |
| work_keys_str_mv | AT idatorunnbjørk clinicaldecisionmakingofnursesworkinginhospitalsettings AT glenysahamilton clinicaldecisionmakingofnursesworkinginhospitalsettings |