DECISION-MAKING MODELS OF FINNISH NURSES AND PUBLIC-HEALTH NURSES




LAURI S, SALANTERA S

PublisherBLACKWELL SCIENCE LTD

1995

 Journal of Advanced Nursing

JOURNAL OF ADVANCED NURSING

J ADV NURS

21

3

520

527

8

0309-2402

DOIhttps://doi.org/10.1111/j.1365-2648.1995.tb02736.x



This study described nursing decision-making models and variables related to these models. For this purpose a 56-item Likert-type questionnaire was constructed according to the Dreyfus model of skill acquisition as applied to nursing by Benner and information processing theory. The target group consisted of 100 registered nurses working in inpatient clinics and 100 public health nurses working in preventive health care. The decision-making variables explored were nurses' experience, education and knowledge as well as the nature of the nursing task and context. The results revealed four different types of decision-making: (a) unquestioning/questioning decision-making, (b) creative-diversive decision-making, (c) patient/nurse-oriented decision-making, and (d) rule- and situation-based decision-making. The most important factors related to decision-making were experience and the nature of the nursing task and context.



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