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Structural Equation Modeling on Clinical Decision Making Ability of Nurses
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Min Kyoung Park, Soukyoung Kim
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J Korean Acad Nurs 2019;49(5):601-612. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.5.601
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 Abstract
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- Abstract
Purpose
The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory.
Methods
The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed.
Results
The goodness-of-fit of the final model was at a good level (χ 2/df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability.
Conclusion
The nurses’ clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.
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Citations
Citations to this article as recorded by  - Development of a Korean clinical decision-making ability scale for hospital nurses
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