Validity of Korean Version of Clinical Decision Making Short Form Scale

Kim, Myoung Soo; Jung, Hyun Kyeong

doi:10.7475/kjan.2014.26.4.403

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…A 24-item nursing decision-making instrument was used, developed by Lauri and Salanterä [15] and verified in Korean by Kim and Jung [28]. This instrument was developed with reference to evidence that nurses flexibly apply diverse kinds of decision-making models depending on the specific nursing problem, the task at hand, the information available, organization level, and time constraints [15].…”

Section: Methodsmentioning

confidence: 99%

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Kim

2019

BMC Health Serv Res

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Background Individual and organizational factors correlate with perceived barriers to error reporting. Understanding medication administration errors (MAEs) reduces confusion about error definitions, raises perceptions of MAEs, and allows healthcare providers to report perceived and identified errors more frequently. Therefore, an emphasis must be placed on medication competence, including medication administration knowledge and decision-making. It can be helpful to utilize an organizational approach, such as collaboration between nurses and physicians, but this type of approach is difficult to establish and maintain because patient-safety culture starts at the highest levels of the healthcare organization. This study aimed to examine the canonical correlations of an individual self-efficacy/bottom-up organizational approach variable set with perceived barriers to reporting MAEs among nurses. Methods We surveyed 218 staff nurses in Korea. The measurement tools included a questionnaire on knowledge of high-alert medication, nursing decision-making, nurse-physician collaboration satisfaction, and barriers to reporting MAEs. Descriptive statistics, t-tests, analysis of variance (ANOVA), Pearson’s correlation coefficient, and canonical correlations were used to analyze results. Results Two canonical variables were significant. The first variate indicated that less knowledge about medication administration (− 0.83) and a higher perception of nurse-physician collaboration (0.42) were related to higher disagreement over medication error (0.64). The second variate showed that intuitive clinical decision-making (− 0.57) and a higher perception of nurse-physician collaboration (0.84) were related to lower perceived barriers to reporting MAEs. Conclusions Enhancing positive collaboration among healthcare professionals and promoting analytic decision-making supported by sufficient knowledge could facilitate MAE reporting by nurses. In the clinical phase, providing medication administration education and improving collaboration may reduce disagreement about the occurrence of errors and facilitate MAE reporting. In the policy phase, developing an evidence-based reporting system that informs analytic decision-making may reduce the perceived barriers to MAE reporting.

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Section: Methodsmentioning

confidence: 99%

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Kim

2019

BMC Health Serv Res

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“…Clinical decision making requires the intuition necessary to prevent disease and promote the patient’s health under certain principles. It is the ability to cope with and resolve the patient’s behavior, which means the power to handle the nursing task [ 6 , 17 ].…”

Section: Resultsmentioning

confidence: 99%

“…For the results of this study, the first attribute of nurses’ clinical decision making, clinical reasoning ability, helps nurses gradually develop professionalism and leadership because skilled nurses have an excellent ability to interpret the patient’s problem based on their prior experience, and can cooperate seamlessly with their fellow medical staff when faced with a situation involving a patient’s highly uncertain health status [ 5 ]. Additionally, Kim and Jung [ 6 ] mentioned in their study that nurses must evenly distribute essential medical resources to be able to make the right decisions for the professional nursing of patients and must check the patient information based on clinical reasoning developed from past work performance [ 4 ]. Therefore, it is considered that nurses need the ability to utilize consistent and predictable resources for patients by modifying and confirming the process of systematic and collective clinical reasoning in establishing a series of nursing plans for patients.…”

Section: Discussionmentioning

confidence: 99%

“…The nurse can recognize the patient’s priority health problem based on the patient’s information and can predict the uncertain disease situation of the patient through clinical decision making [ 2 , 3 ]. Therefore, in the clinical practice field, it is necessary for nurses to collect various information needed for the nursing of patients, and to make clinical decisions with rational and critical reasoning [ 3 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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A Concept Analysis of Nurses’ Clinical Decision Making: Implications for Korea

Sok

2022

IJERPH

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The study’s purpose was to identify the meaning and the attributes of Korean nurses’ clinical decision making. A sequential and systematic literature review with reflection according to the conceptual analysis method of Walker and Avant was used in this study. Data sources included the National Assembly Library, the National Digital Science Library, ProQuest, PubMed, MEDLINE, and CINAHL. Finally, twenty-six articles were included in this concept analysis. The concept of Korean nurses’ clinical decision making consisted of the following attributes: clinical reasoning, choosing and applying challenging alternatives, and professional assessment and resetting. Antecedents consisted of: recognizing complex and diverse patient situations with high uncertainty, the need to solve problems according to priority, prior experience in clinical decision making, and interrelationships with fellow medical staff. Consequences consisted of: providing high-quality nursing services, improving the patient’s safety, and increased satisfaction with clinical decision making. Based on these results, the conceptual attributes of Korean nurses’ clinical decision making had slightly different characteristics but were organically interrelated. The results of analyzing the concept of Korean nurses’ clinical decision making provide a better understanding of it and contribute to expanding nursing knowledge and developing a valid and reliable measurement.

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Cultural Adaptation and Psychometric Evaluation of the Nursing Decision-Making Instrument Into European Portuguese

Paiva,

Neves,

Ventura

et al. 2024

SAGE Open Nursing

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Introduction Nurses are continually faced with multiple demands to make decisions in their clinical practice. The Nursing Decision-Making Instrument (NDMI) assesses nurses’ decision-making styles during the several stages of this process. Objectives To adapt the NDMI into European Portuguese and evaluate the psychometric properties of the Portuguese version in a population of Portuguese nurses. Methods Descriptive study design was used to examine psychometric properties of NDMI. Nonprobability convenience sample of 339 Portuguese direct-care nurses. Data were collected using a questionnaire comprising sociodemographic and professional data and the NDMI–Portuguese version (NDMI-PT). An exploratory factor analysis (EFA; n = 125) and a confirmatory factor analysis (CFA; n = 214) were carried out using IBM SPSS (v. 24) and AMOS (v. 22). Results The EFA revealed a structure of four latent factors, which represent the reorganized stages of the decision-making process. The CFA found a good overall fit of the model (χ2/df = 2.13; comparative fit index [CFI] = 0.91; goodness of fit index [GFI] = 0.82; Tucker-Lewis Index [TLI] = 0.90; root mean square error of approximation [RMSEA] = 0.07; maximum-likelihood expected cross-validation index [MECVI] = 3.13). The psychometric analysis of the theoretical structure revealed that the four factors reflect the decision-making stages and have a better overall fit than the empirical structure (χ2/df = 1.82; CFI = 0.94; GFI = 0.86; TLI = 0.93; RMSEA = 0.06; MECVI = 2.55). The analysis of the construct reliability of the NDMI-PT revealed that the overall internal consistency was excellent ( α=0.96). Conclusions This study revealed that the empirical and theoretical structures were appropriate and valid for the sample under analysis. The NDMI-PT is a reliable and valid tool for assessing nurses’ decision-making styles. Studies should be conducted to gain further insight into the robustness of this validated tool.

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Validity of Korean Version of Clinical Decision Making Short Form Scale

Cited by 6 publications

References 21 publications

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

A Concept Analysis of Nurses’ Clinical Decision Making: Implications for Korea

Cultural Adaptation and Psychometric Evaluation of the Nursing Decision-Making Instrument Into European Portuguese

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