The Influence of Self-Concept on Clinical Decision-Making in Nurses and Nursing Students: A Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
Sample Size
2.2. Study Instrument
2.2.1. Clinical Decision-Making in Nursing Scale (CDMNS)
2.2.2. Nurses Self-Concept Questionnaire (NSCQ)
2.3. Data Collection Procedures
2.4. Ethical Considerations
2.5. Data Analysis
3. Results
3.1. Sociodemographic Characteristics
3.2. CDM and NSC by Years of Nursing Work Service
3.3. The Influence of NSC on CDM among Nursing Students and Hospital Nurses
4. Discussion
4.1. Implications for Nursing Education and Practice
4.2. Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Sample | Nurses | Students | |
---|---|---|---|
n (%) | 586 (81.5) | 129 (18.5) | |
Gender | |||
female (n (%)) | 481 (84.7) | 115 (89.1) | |
male (n (%)) | 87 (15.3) | 14 (10.9) | |
Age (year) | |||
mean (SD) | 40.5 (11.7) | 26.3 (6.8) | |
min–max | 20–65 | 18–44 |
Nurses’ Experience (Years) | Nurses (n = 568) | Differences between Nursing Groups p * | Students (n = 129) | Differences between Nurses Total and Students p ** | ||||
---|---|---|---|---|---|---|---|---|
≤10 (n = 145) | 11–20 (n = 156) | 21–30 (n = 142) | >31 (n = 126) | Total Nurses (n = 568) | ||||
CDMNS | Mean (SD) | Mean (SD) | ||||||
Alternatives | 32.6 (4.0) | 32.4 (4.3) | 33.4 (4.3) | 34.2 (4.7) | 33.1 (4.4) | 0.002 | 33.4 (3.8) | 0.320 |
Canvassing | 32.1 (4.2) | 31.7 (4.7) | 32.2 (4.1) | 33.3 (5.4) | 32.3 (4.7) | 0.03 | 33.3 (3.9) | 0.278 |
Evaluation | 28.1 (4.6) | 28.4 (4.5) | 28.9 (4.4) | 30.9 (5.7) | 29.1 (4.9) | <0.001 | 28.7 (3.7) | 0.059 |
Information | 30.0 (4.0) | 29.8 (4.0) | 29.5 (4.1) | 31.3 (5.3) | 30.1 (4.4) | 0.003 | 29.9 (3.3) | 0.017 |
Total score | 123.0 (13.7) | 122.4 (14.8) | 124.1 (13.3) | 129.8 (17.8) | 124.7 (15.2) | <0.001 | 125.5 (10.0) | <0.003 |
Nurses’ Experience (Years) | Nurses (n = 568) | Differences between Nursing Groups p * | Students (n = 129) | Differences between Nurses Total and Students p ** | ||||
---|---|---|---|---|---|---|---|---|
≤10 (n = 145) | 11–20 (n = 156) | 21–30 (n = 142) | >31 (n = 126) | Total Nurses (n = 568) | ||||
NSCQ | Mean (SD) | Mean (SD) | ||||||
General SC | 40.0 (6.9) | 37.8 (9.0) | 38.7 (7.2) | 39.9 (6.8) | 39.1 (7.6) | 0.039 | 44.2 (5.5) | <0.001 |
Staff Relations | 38.3 (6.6) | 38.1 (6.2) | 38.9 (5.9) | 39.8 (5.1) | 38.7 (6.0) | 0.088 | 41.8 (3.9) | <0.001 |
Communications | 39.1 (6.1) | 38.1 (6.3) | 39.6 (5.4) | 39.5 (5.3) | 39.0 (5.8) | 0.086 | 41.9 (3.9) | <0.001 |
Knowledge | 38.8 (6.4) | 36.4 (7.2) | 38.2 (5.9) | 37.9 (6.1) | 37.7 (6.5) | 0.032 | 43.2 (3.7) | <0.001 |
Leadership | 31.8 (8.1) | 31.2 (9.0) | 33.6 (9.3) | 33.5 (7.9) | 32.5 (8.7) | 0.037 | 36.3 (5.5) | <0.001 |
Care | 40.0 (5.8) | 39.2 (6.1) | 40.4 (4.9) | 40.0 (5.5) | 40.1 (5.6) | 0.321 | 40.2 (4.9) | 0.418 |
Total score | 227.7 (32.9) | 220,9 (37.7) | 229.5 (33.3) | 230.7 (31.7) | 227.0 (34.3) | 0.064 | 247.5 (21.8) | <0.001 |
CDMNS / NSCQ | NSCQ in Total | NSCQ General | NSCQ Care | NSCQ Communications | NSCQ Knowledge | NSCQ Leadership | NSCQ Staff Relations |
---|---|---|---|---|---|---|---|
CDMNS Alternatives | 0.212 ** | 0.199 ** | 0.168 ** | 0.191 ** | 0.182 ** | 0.145 ** | 0.213 ** |
CDMNS Canvassing | 0.275 ** | 0.251 ** | 0.199 ** | 0.248 ** | 0.236 ** | 0.226 ** | 0.243 ** |
CDMNS Evaluation | 0.024 | −0.001 | −0.010 | 0.012 | −0.007 | 0.090 * | 0.015 |
CDMNS Information | 0.084 * | 0.068 | 0.068 | 0.065 | 0.064 | 0.074 | 0.095 |
Total CDMNS score | 0.178 ** | 0.154 ** | 0.126 ** | 0.154 ** | 0.142 ** | 0.162 ** | 0.169 ** |
CDMNS / NSCQ | NSCQ in Total | NSCQ General | NSCQ Care | NSCQ Communications | NSCQ Knowledge | NSCQ Leadership | NSCQ Staff Relations |
---|---|---|---|---|---|---|---|
CDMNS Alternatives | 0.178 * | 0.120 | 0.129 | 0.134 | 0.171 | 0.092 | 0.208 * |
CDMNS Canvassing | −0.023 | −0.082 | 0.000 | −0.083 | 0.077 | −0.020 | 0.021 |
CDMNS Evaluation | 0.094 | −0.040 | 0.043 | 0.104 | 0.006 | 0.219 * | 0.093 |
CDMNS Information | 0.139 | 0.012 | 0.199 * | 0.103 | 0.124 | 0.146 | 0.104 |
Total CDMNS score | 0.139 | 0.002 | 0.131 | 0.090 | 0.139 | 0.156 | 0.156 |
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Farčić, N.; Barać, I.; Lovrić, R.; Pačarić, S.; Gvozdanović, Z.; Ilakovac, V. The Influence of Self-Concept on Clinical Decision-Making in Nurses and Nursing Students: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2020, 17, 3059. https://doi.org/10.3390/ijerph17093059
Farčić N, Barać I, Lovrić R, Pačarić S, Gvozdanović Z, Ilakovac V. The Influence of Self-Concept on Clinical Decision-Making in Nurses and Nursing Students: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2020; 17(9):3059. https://doi.org/10.3390/ijerph17093059
Chicago/Turabian StyleFarčić, Nikolina, Ivana Barać, Robert Lovrić, Stana Pačarić, Zvjezdana Gvozdanović, and Vesna Ilakovac. 2020. "The Influence of Self-Concept on Clinical Decision-Making in Nurses and Nursing Students: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 17, no. 9: 3059. https://doi.org/10.3390/ijerph17093059