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Decision-making in clinical nursing: investigating contributing factors
Kerry Hoffman1, Judith Donoghue, Christine Duffield
1University of Technology, Sydney, Australia. kerry.hoffman@newcastle.edu.au
Journal of Advanced Nursing
|December 17, 2003
Summary
A nurse's professional values, not education or experience, significantly impact clinical decision-making. Further research is needed to identify other influencing factors in nursing practice.
Area of Science:
- Nursing
- Healthcare Management
- Decision Science
Background:
- Clinical decision-making is influenced by various contextual factors.
- Education and experience are often considered important, but their impact varies.
- Values, knowledge, setting, and stress also play roles in decision-making.
Purpose of the Study:
- To examine the relationship between occupational orientation, education, experience, and clinical decision-making in Australian nurses.
- To determine the predictive power of these factors on nurses' clinical decision-making.
- To identify key predictors of clinical decision-making in the nursing profession.
Main Methods:
- A correlational study design was employed.
- Data were collected from Australian nurses regarding their decision-making on common interventions.
- Stepwise selection regression analysis was used to model the predictors of clinical decision-making.
Main Results:
- Occupational orientation was the strongest predictor of clinical decision-making.
- Level of appointment, area of clinical specialty, and age also showed predictive ability.
- Education and experience were not significantly related to clinical decision-making in this study.
Conclusions:
- Professional occupational orientation is a more significant predictor of clinical decision-making than education or experience.
- The developed model explained only a small proportion of the variability in decision-making.
- Additional factors influencing clinical decision-making in nurses require further investigation.