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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Critical Thinking I01:24

Critical Thinking I

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Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
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Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
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Standards of Care II01:19

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Critical Thinking II01:25

Critical Thinking II

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Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
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Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Nurses' decision-making style in hospital settings.

Patrícia Soares Freitas Caetano1, Thaís Victor Marques1, Vivian Vitória Maciel1

  • 1Universidade Estadual de Londrina. Londrina, Paraná, Brazil.

Revista Brasileira De Enfermagem
|March 4, 2026
PubMed
Summary

Nurses primarily use vigilant decision-making styles. Sociodemographic factors like race and work shifts influence these styles, impacting nursing practice in hospitals.

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Area of Science:

  • Nursing
  • Decision Science
  • Healthcare Management

Background:

  • Effective decision-making is crucial for nurses in hospital settings.
  • Understanding factors influencing nurses' decision-making styles is essential for improving patient care and work environments.

Purpose of the Study:

  • To analyze nurses' decision-making styles in a hospital setting.
  • To investigate the association between sociodemographic and occupational profiles and nurses' decision-making styles.

Main Methods:

  • Quantitative, analytical study involving 181 nurses from a public university hospital in Brazil.
  • Utilized a sociodemographic and occupational data collection instrument and the Melbourne Decision-Making Questionnaire.

Main Results:

  • The vigilant decision-making style was the most prevalent among nurses.
  • Nurses identifying as black, brown, and yellow showed a higher likelihood of adopting the vigilant style.
  • Working the afternoon shift was associated with a higher likelihood of the procrastination decision-making style.

Conclusions:

  • Personal and occupational variables significantly influence nurses' decision-making processes.
  • Situational aspects within the work and social environments also impact how nurses make decisions.
  • Findings highlight the need to consider individual and contextual factors in nursing decision-making.