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Decision Fatigue in Nursing: An Evolutionary Concept Analysis
Amir Hossein Goudarzian1,2, Seyed Ali Taheri Hatkehlouei3, Mozhgan Taebi4
1School of Nursing & Midwifery Mazandaran University of Medical Sciences sari Iran.
Health Science Reports
|August 21, 2025
Summary
Decision fatigue significantly impairs nurses' ability to make optimal choices, negatively affecting patient care and safety. Addressing this cognitive challenge is crucial for nurse well-being and healthcare quality.
Area of Science:
- Nursing Science
- Cognitive Psychology
- Healthcare Management
Background:
- Decision fatigue is a critical cognitive challenge for nurses, impacting patient care quality and well-being.
- It arises from the cumulative effect of frequent and demanding decisions in healthcare settings.
Purpose of the Study:
- To conduct a concept analysis of decision fatigue in nursing.
- To define the concept, explore its antecedents, consequences, and practical implications for nursing.
Main Methods:
- Utilized Rodgers' evolutionary concept analysis method.
- Conducted a systematic literature search across major databases (PubMed, Scopus, Web of Science, Google Scholar).
- Employed content analysis to extract themes and synthesize findings.
Main Results:
- Decision fatigue manifests behaviorally, physiologically, and cognitively, diminishing decision-making capacity.
- Antecedents include personal factors (sleep, stress) and organizational factors (workload, staffing).
- Consequences encompass reduced care quality, safety, burnout, and increased job turnover.
Conclusions:
- Decision fatigue presents a significant challenge in nursing with serious implications for nurses and patients.
- Understanding contributing factors and implementing mitigation strategies are essential for nurse support and improved patient care.
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