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Decision-making models in different fields of nursing

S Lauri¹, S Salanterä

¹University of Turku, Department of Nursing, Finland.

Research in Nursing & Health

|October 7, 1998

Summary

This study identified five nursing decision-making models. The nursing task and context influence these models, but knowledge structure and experience do not.

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Area of Science:

Nursing Science
Healthcare Management
Decision Analysis

Background:

Understanding nurses' decision-making processes is crucial for optimizing patient care and healthcare delivery.
Existing decision-making theories and prior research provide a foundation for exploring nurses' choices.
Variability in nursing practice across different specialties necessitates an examination of context-specific decision models.

Purpose of the Study:

To identify distinct decision-making models employed by nurses across various specialties.
To determine which variables influence the adoption and application of these nursing decision-making models.
To investigate the relationship between nursing context, task nature, knowledge, and experience in decision-making.

Main Methods:

Development of an instrument based on decision-making theories and prior nursing studies.
Statistical analysis including factor analysis, factor scores, and correspondence analysis.
Data collection from a sample of 483 Finnish nurses across five distinct fields of nursing.

Main Results:

Identification of five distinct models of nursing decision making.
Significant associations found between the nature of the nursing task and nursing context with decision-making models.
No significant explanatory power of knowledge structure or practical experience on nursing decision-making models was found.

Conclusions:

Nursing decision-making is significantly influenced by the specific tasks and the broader healthcare context.
The identified models offer insights into how nurses approach complex situations in different practice areas.
Further research could explore interventions to enhance decision-making based on task and contextual factors.

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