Nurses’ decision-making in clinical practice

Bakalis, Nick; Watson, Roger

doi:10.7748/ns2005.02.19.23.33.c3805

Cited by 38 publications

(26 citation statements)

References 20 publications

(24 reference statements)

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“…Part of the study done by Hoffman, Donoghue, and Duffield () explored the associations between age and clinical decision‐making in Australia nurses and established that older subjects in their study had a weak but significantly higher scores in their clinical decision‐making ( r = .223, p < .05). This finding agrees with other studies reporting that experienced nurses make more effective clinical decisions than less experienced nurses (Bakalis & Watson, ; Pantazopoulos et al., ). Bjørk and Hamilton () investigated factors affecting types of clinical decision‐making and found that years of working experience ( r = .132, p < .05) and increase age ( r = .059, p < .05) are significantly associated with clinical decision‐making.…”

Section: Discussionsupporting

confidence: 93%

“…Sometimes it was used interchangeably with the term “clinical judgement” to describe the same phenomena (Thompson & Dowding, ). Some researchers emphasised clinical decision‐making as the utmost crucial component in nursing (Bakalis, ; Bakalis, Bowman, & Porock, ; Dowding et al., ; Wang, Chien, & Twinn, ) because, according to Bakalis and Watson (), nurses are often the first professionals to observe a rapid deterioration in the patient's physical state. Therefore, critical thinking is an essential means for them to critically analyse clinical situations in order to make fast and right decisions.…”

Section: Introductionmentioning

confidence: 99%

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An integrated review of the correlation between critical thinking ability and clinical decision‐making in nursing

Lee

Abdullah

Subramanian³

et al. 2017

Journal of Clinical Nursing

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This review confirmed that evidence to support the existence of relationships between critical thinking and clinical decision-making is still unsubstantiated. Therefore, it serves as a call for nurse leaders and nursing academics to produce quality studies in order to firmly support or reject the hypothesis that there is a statistically significant correlation between critical thinking and clinical decision-making.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

An integrated review of the correlation between critical thinking ability and clinical decision‐making in nursing

Lee

Abdullah

Subramanian³

et al. 2017

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…According to the regression analysis in this research, the age of the nurses was found to be positively related with independent, intuitive, and rational DMS. It was reported that there was a positively significant correlation in the literature between decision‐making frequency and age (Bakalis & Watson, ; Ludin, ). There are studies in the literature that indicate that age does not affect DMS or there is a negative relationship between them (Sladek, Bond, & Phillips, ; Thunholm, ; Verma et al , ).…”

Section: Discussionmentioning

confidence: 99%

Decision‐making styles, anxiety levels, and critical thinking levels of nurses

Polat

Kutlu

et al. 2018

Japan Journal Nursing Sci

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Aim This research was carried out so as to reveal the relationships between the anxiety state of nurses, their critical thinking disposition, and decision‐making strategies. Methods Survey forms and scales that were related to demographic attributes, anxiety, critical thinking and decision‐making were used in this research. The sampling was formed with 326 nurses who were selected by using the random sampling method. The data were collected between November, 2014 and January, 2015 via a Descriptive Information Form, the California Critical Thinking Disposition Inventory, State–Trait Anxiety Inventory, and Decision‐Making Strategies Scale. Results Of the nurses, 91.4% were discovered to have low critical thinking disposition levels. The nurses’ scores in analytics, open‐mindedness, and curiosity were higher, compared to the other categories. As for decision‐making, independent decision‐making was the most commonly used strategy. There was a poor positive relationship between the age of the nurses and their points of independent decision‐making and intuitive decision‐making. It was detected that age and open‐mindedness affected the total points of independent decision‐making, intuitive decision‐making, and rational decision‐making. Conclusion The critical thinking training of nurses affects their rational decision‐making levels and their age affects independent, intuitive, and rational decision‐making. Systematicity affects only indecision in a negative way, whereas open‐mindedness negatively affects intuitive decision‐making, rational decision‐making, and indecision. Anxiety negatively affects independent decision‐making, whereas it affects indecision strategy positively. The working style of nurses does not affect their decision‐making strategies. Indecision strategy is negatively predicted by open‐mindedness, systematicity, and self‐confidence and it is positively predicted by anxiety.

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“…Bakalis and Watson (2005) found that the length of clinical experience was significantly correlated to the frequency of decision‐making, although there was no difference based on educational level of nurses. However, they did not give the statistical basis for these statements.…”

Section: Introductionmentioning

confidence: 92%