Path model on decision‐making ability of clinical nurses

Abstract

Aims and objectives: To identify and examine the relationship between the factors influencing the decision-making ability of clinical nurses in hospitals, South Korea, and to establish a model, to verify the fit and the effect.Background: Clinical nurses are exposed to environments and situations where they make continuous decisions according to the need of direct treatment and nursing.Design: This study used a cross-sectional descriptive design, relation prediction modelling and adheres to the STROBE guidelines. Methods:The model construction was based on the information processing theory by Hansen and Thomas (Nursing Research, 17, 436, 1968). The model consists of 5 exogenous variables (expertise, critical thinking disposition, knowledge-sharing behaviour, nursing work environment, and decision-making stress) and 3 endogenous variables (analytic-systematic decision-making type, intuitive-interpretive decisionmaking type and decision-making ability). Participants were 274 clinical nurses, who were working at two hospitals in Seoul, South Korea. The data was analysed using SPSS WIN 18.0 and AMOS 20.0 program. Path analysis to verify the hypothetical model was used, and the fit was evaluated by χ 2 /df, GFI, AGFI, NFI, CFI and RMSEA.Data were collected from March to May 2017. Results:The fit index of the modified path model was χ 2 /df = 2.25, GFI = .972, AGFI = .929, NFI = .967, CFI = .981 and RMSEA = .068. The analytic-systematic decision-making type had the greatest direct effect on the clinical nurses' decisionmaking ability, which is the final outcome variable, followed by significant direct and indirect effects on critical thinking disposition. Conclusion:This study suggests that the clinical nurses' decision-making ability in hospitals were leadingly influenced by analytic-systematic decision-making type and critical thinking disposition. Relevance to clinical practice:In the nursing practice, nurses need to pay attention the analytic-systematic decision-making type and critical thinking disposition for improving decision-making ability of clinical nurses in hospitals.

The Application of Structural Equation Modeling in Nursing Research: A Bibliometric Analysis

“…Additionally, the overlay visualization mapping indicated that University of Massachusetts and Kyune Hee University have also made contribution in this field in the recent years (Ayotte et al, 2022;S. M. Kim et al, 2022;Park et al, 2022;Yang et al, 2021). However, the result indicated that no institution in China ranked high regarding publication, significance, or citations, despite high publication and citations in China overall.…”

Influences of Nursing Professionalism, Empathy, and Clinical Decision-Making Ability on Shared Decision-Making Awareness among Hemodialysis Nurses

“…Tis is thought to be due to the result that the independence area of nursing was the lowest in the subcategories of nursing professionalism. Tis is because the relationship between doctors and nurses in the medical feld is not a horizontal one, but a hierarchical relationship, which limits the ability of nurses to independently make decisions and fulfll their roles [8,11,16]. However, when nursing professionalism is established, patients can actively exercise their right to self-determination in the decision-making process during treatment by ensuring the patients' right to know and autonomy in the shared decision-making process [26,27].…”

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“…Shared decision-making is based on a shared mental model, which is the perception of, understanding of, or knowledge about a situation or process that is shared among team members through communication [7,8]. Te complexity and criticality of the current healthcare system require shared mental models to enhance safe and efective patient/ client care [8,9]. Each member's action can have an advantage in terms of efciency, function, and strategy by using clear communication and guidance among team members in the shared decision-making process, and by sharing an understanding of goals and expectations towards a better quality of life for the patient [7,[9][10][11].…”