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Clinical decision making in undergraduate nursing students: A mixed methods multisite study.

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Nursing students demonstrate flexible clinical decision-making skills, often relying on experience, guidance from others, and situational context. This study explores how they develop these crucial abilities.

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Area of Science:

  • Nursing Education
  • Clinical Cognition

Background:

  • Understanding how nursing students develop clinical decision-making skills is limited.
  • The nature of student clinical decisions (intuitive vs. analytical) is not well-defined.

Purpose of the Study:

  • To investigate the learning process and characteristics of clinical decisions made by nursing students.
  • To apply Hammond's Cognitive Continuum Theory to nursing student decision-making.

Main Methods:

  • A mixed-methods study involving 168 students.
  • Utilized the NDMI-Revised 2014 assessment followed by focus groups.

Main Results:

  • 127 participants (75%) exhibited quasi-rational decision-making, showing situational flexibility.
  • Six key themes emerged describing how students approach clinical decisions.

Conclusions:

  • Nursing students are flexible decision-makers.
  • They leverage diverse resources including peer/expert advice, experience, and situational factors.
  • Systematic cognitive processing also plays a role in their decision-making.