Evaluation of clinical decision-making perception of nursing students: the Aegean region case

Abstract Background The clinical learning environment is crucial for developing essential clinical decision-making skills in nursing students. This study examined nursing students’ perceptions of clinical decision-making and the factors that impact it. Methods A descriptive cross-sectional study was...

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Main Authors: Yelda Candan Dönmez, Burcak Sahin Koze, Aylin Durmaz Edeer, Yeliz Ciğerci, Emel Yilmaz, Fadime Gök, Nurdan Gezer, Kevser Karacabay, Bilgen Arikan, Gülay Oyur Çelik, Züleyha Seki, Meryem Yavuz Van Giersbergen
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03123-8
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author Yelda Candan Dönmez
Burcak Sahin Koze
Aylin Durmaz Edeer
Yeliz Ciğerci
Emel Yilmaz
Fadime Gök
Nurdan Gezer
Kevser Karacabay
Bilgen Arikan
Gülay Oyur Çelik
Züleyha Seki
Meryem Yavuz Van Giersbergen
author_facet Yelda Candan Dönmez
Burcak Sahin Koze
Aylin Durmaz Edeer
Yeliz Ciğerci
Emel Yilmaz
Fadime Gök
Nurdan Gezer
Kevser Karacabay
Bilgen Arikan
Gülay Oyur Çelik
Züleyha Seki
Meryem Yavuz Van Giersbergen
author_sort Yelda Candan Dönmez
collection DOAJ
description Abstract Background The clinical learning environment is crucial for developing essential clinical decision-making skills in nursing students. This study examined nursing students’ perceptions of clinical decision-making and the factors that impact it. Methods A descriptive cross-sectional study was carried out using a self-administered questionnaire, which included a personal information form and the Clinical Decision-Making in Nursing Scale (CDMNS). The study was conducted across ten universities in the Aegean region. Data collection took place at times most convenient for the students, such as during class sessions or lunch breaks. Prior to participation, students were briefed on the study’s objectives and procedures. Those who agreed to participate provided informed consent before completing the questionnaire. Researchers remained present while students filled out the questionnaire to clarify any questions they had. Results A considerable proportion of students (72.6%) had never received formal education on clinical decision-making. The average CDMNS score was 140.24 ± 17.04, aligning with findings from previous research. A statistically significant difference was observed in the total mean CDMNS score and sub-dimension scores (searching for alternatives, questioning goals and values, evaluating outcomes, seeking information, and objectively integrating new knowledge) based on the university attended (p < 0.001). Conclusions The findings suggest that nursing students in the Aegean Region demonstrated a moderate level of perceived clinical decision-making skills. To enhance these skills further, it is recommended that alternative educational approaches, such as simulation-based training, case study discussions, and mentoring programmes, be integrated into nursing education and their effectiveness assessed. Clinical trial number Not applicable
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publisher BMC
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spelling doaj-art-5638ca0a887a4e3fa8049783e2cdbad22025-08-20T02:10:46ZengBMCBMC Nursing1472-69552025-05-0124111210.1186/s12912-025-03123-8Evaluation of clinical decision-making perception of nursing students: the Aegean region caseYelda Candan Dönmez0Burcak Sahin Koze1Aylin Durmaz Edeer2Yeliz Ciğerci3Emel Yilmaz4Fadime Gök5Nurdan Gezer6Kevser Karacabay7Bilgen Arikan8Gülay Oyur Çelik9Züleyha Seki10Meryem Yavuz Van Giersbergen11Surgical Nursing Department, Ege University Faculty of NursingSurgical Nursing Department, Ege University Faculty of NursingDepartment of Surgical Nursing, Dokuz Eylul University Nursing FacultyFaculty of Health Sciences, Department of Nursing, Afyonkarahisar Health Sciences UniversityFaculty of Health Sciences, Department of Nursing, Department of Surgical Nursing, Manisa Celal Bayar UniversityFaculty of Health Sciences, Department of Nursing, Denizli Pamukkale UniversityDepartment of Surgical Nursing Aydın, Aydın Adnan Menderes University Nursing FacultyFaculty of Health Sciences, Department of Nursing, Kütahya University of Health SciencesFaculty of Health Sciences, Department of Nursing, Uşak UniversityFaculty of Health Sciences, Department of Nursing, Katip Çelebi UniversityFaculty of Health Sciences, Department of Nursing, Muğla Sıtkı Koçman UniversitySurgical Nursing Department, Ege University Faculty of NursingAbstract Background The clinical learning environment is crucial for developing essential clinical decision-making skills in nursing students. This study examined nursing students’ perceptions of clinical decision-making and the factors that impact it. Methods A descriptive cross-sectional study was carried out using a self-administered questionnaire, which included a personal information form and the Clinical Decision-Making in Nursing Scale (CDMNS). The study was conducted across ten universities in the Aegean region. Data collection took place at times most convenient for the students, such as during class sessions or lunch breaks. Prior to participation, students were briefed on the study’s objectives and procedures. Those who agreed to participate provided informed consent before completing the questionnaire. Researchers remained present while students filled out the questionnaire to clarify any questions they had. Results A considerable proportion of students (72.6%) had never received formal education on clinical decision-making. The average CDMNS score was 140.24 ± 17.04, aligning with findings from previous research. A statistically significant difference was observed in the total mean CDMNS score and sub-dimension scores (searching for alternatives, questioning goals and values, evaluating outcomes, seeking information, and objectively integrating new knowledge) based on the university attended (p < 0.001). Conclusions The findings suggest that nursing students in the Aegean Region demonstrated a moderate level of perceived clinical decision-making skills. To enhance these skills further, it is recommended that alternative educational approaches, such as simulation-based training, case study discussions, and mentoring programmes, be integrated into nursing education and their effectiveness assessed. Clinical trial number Not applicablehttps://doi.org/10.1186/s12912-025-03123-8Clinical decision-makingDecision makingNursingStudent
spellingShingle Yelda Candan Dönmez
Burcak Sahin Koze
Aylin Durmaz Edeer
Yeliz Ciğerci
Emel Yilmaz
Fadime Gök
Nurdan Gezer
Kevser Karacabay
Bilgen Arikan
Gülay Oyur Çelik
Züleyha Seki
Meryem Yavuz Van Giersbergen
Evaluation of clinical decision-making perception of nursing students: the Aegean region case
BMC Nursing
Clinical decision-making
Decision making
Nursing
Student
title Evaluation of clinical decision-making perception of nursing students: the Aegean region case
title_full Evaluation of clinical decision-making perception of nursing students: the Aegean region case
title_fullStr Evaluation of clinical decision-making perception of nursing students: the Aegean region case
title_full_unstemmed Evaluation of clinical decision-making perception of nursing students: the Aegean region case
title_short Evaluation of clinical decision-making perception of nursing students: the Aegean region case
title_sort evaluation of clinical decision making perception of nursing students the aegean region case
topic Clinical decision-making
Decision making
Nursing
Student
url https://doi.org/10.1186/s12912-025-03123-8
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