Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Validity of Korean Version of Clinical Decision Making Short Form Scale

한국어판 임상적 의사결정 (clinical decision making) 축약도구의 타당성 검정

  • Kim, Myoung Soo (Department of Nursing, Pukyong National University) ;
  • Jung, Hyun Kyeong (Nursing Administration and Education Team, Pusan National University Hospital)
  • 김명수 (국립 부경대학교 간호학과) ;
  • 정현경 (부산대학교병원 간호행정교육팀)
  • Received : 2014.03.19
  • Accepted : 2014.08.01
  • Published : 2014.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to validate the Korean version of shortened Nursing Decision-Making Instrument developed by Lauri & $Salanter{\ddot{a}}$(2002). Methods: The subjects were 247 nurses working in eight hospitals of Korea. Data were collected by questionnaires from June to July, 2012 and were analyzed by Principal Component Analysis for construct validity and Cronbach's ${\alpha}$ coefficient for reliability. Results: Factor loadings of the four subscales ranged from .32 to .73. The explained variance from the four factors was 48.54% of the total variance. The factors were named 'implementation of plan, monitoring and evaluation', 'plans of action', 'data collection', and 'data processing and identification'. The first factor consisted of 6 items which explained 13.21% of the total variance and the second factor contained 8 items. The Cronbach's ${\alpha}$ coefficients of the four subscales were from .64 to .81. Conclusion: The Korean version of the shortened Nursing Decision-Making Instrument has satisfactory construct validity and reliability. However, that the scores of the analytic items weren't reversed unlike the analysis method of the original tools is the biggest limitation of this study. In addition, based on the fact that there were several discrepancies for item interpretation of Korean comparing to the findings of the instrument development study, repetitive researches would be suggested.

Keywords

References

  1. Bakalis, N. A., & Watson, R. (2005). Nurses' decision-making in clinical practice. Nursing Standard, 19(23), 33-39. http://dx.doi.org/10.7748/ns2005.02.19.23.33.c3805
  2. Banning, M. (2008). A review of clinical decision making: Models and current research. Journal of Clinical Nursing, 17(2), 187-195. http://dx.doi.org/10.1111/j.1365-2702.2006.01791.x
  3. Bjork, I. T., & Hamilton, G. A. (2011). Clinical decision making of nurses working in hospital settings. Nursing Research and Practice, 2011, 1-8. http://dx.doi.org/10.1155/2011/524918
  4. Cherry, B., & Jacob, S. R. (2005). Contemporary nursing: Issue, trend, & management. (3rd. ed.). Philadelphia: Mosby.
  5. Choi, H. J. (2001). Public health nurses' decision making models and their knowledge structure. Journal of Korean Academy of Nursing, 31(2), 328-339. https://doi.org/10.4040/jkan.2001.31.2.328
  6. Djalali, A., Castren, M., Hosseinijenab, V., Khatib, M., Ohlen, G., & Kurland, L. (2012). Hospital Incident Command System (HICS) performance in Iran: Decision making during disasters. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20(14), 1-7. http://dx.doi.org/10.1186/1757-7241-20-14
  7. Dunn, J. D. (1998). Powerlessness regarding health-service barriers: Construction of an instrument. International Journal of Nursing Terminologies and Classifications, 9(s2), 136-143. http://dx.doi.org/10.1111/j.1744-618X.1998.tb00183.x
  8. Girot, E. A. (2000). Graduate nurses: critical thinkers or better decision makers? Journal of Advanced Nursing, 31(2), 288-297. http://dx.doi.org/10.1046/j.1365-2648.2000.01298.x
  9. Gover, V. F. (1971). The development and testing of a nursing performance simulation instrument. Unpublished doctoral dissertation, The University of North Carolina, Chapel Hill, North Carolina.
  10. Harbison, J. (2001). Clinical decision making in nursing: Theoretical perspectives and their relevance to practice. Journal of Advanced Nursing, 35(1), 126-133. http://dx.doi.org/10.1046/j.1365-2648.2001.01816.x
  11. Hoffman, K. A., Aitken, L. M., & Duffield, C. (2009). A comparison of novice and expert nurses' cue collection during clinical decision-making: Verbal protocol analysis. International Journal of Nursing Studies, 46(10), 1335-1344. http://dx.doi.org/10.1016/j.ijnurstu.2009.04.001
  12. Hutchins, C., & Glenn, L. L. (2011). Reasoning style in clinical decision making. Research Evidence Evaluation, 2, 7-9.
  13. Hwang, I. J. (2004). Clinical decision making patterns of pediatric nurses. Korean Parent-Child Health Journal, 15(1), 20-32.
  14. Jenkins, H. M. (1985). A research tool for measuring perceptions of clinical decision making. Journal of Professional Nursing, 1(4), 221-229. http://dx.doi.org/10.1016/S8755-7223(85)80159-9
  15. Joseph, D. H., Matrone, J., & Osborne, E. (1988). Actual decision making: Factors that determine practices in clinical settings. The Canadian Journal of Nursing Research, 20(2), 19-31.
  16. Lamond, D., Crow, R., Chase, J., Doggen, K., & Swinkels, M. (1996). Information sources used in decision making: Considerations for simulation development. International Journal of Nursing Studies, 33(1), 47-57. http://dx.doi.org/10.1016/0020-7489(95)00064-X
  17. Lauri, S., & Salantera, S. (1995). Decision-making models of Finnish nurses and public health nurses. Journal of Advanced Nursing, 21(3), 520-527. http://dx.doi.org/10.1111/j.1365-2648.1995.tb02736.x
  18. Lauri, S., & Salantera, S. (2002). Developing an instrument to measure and describe clinical decision making in different nursing fields. Journal of Professional Nursing, 18(2), 93-100. http://dx.doi.org/10.1053/jpnu.2002.32344
  19. Leonard, M. S., Cimino, M., Shaha, S., McDougal, S., Pilliod, J., & Brodsky, L. (2006). Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. Pediatrics, 118(4), e1124-1129. http://dx.doi.org/10.1542/peds.2005-3183
  20. Ng, L. S., & Curley, M. A. (2012). "One more thing to think about..." Cognitive burden experienced by intensive care unit nurses when implementing a tight glucose control protocol. Journal of Diabetes Science and Technology, 6(1), 58-64. http://dx.doi.org/10.1177/193229681200600108
  21. Nunnally, J. C. (1978). Psychometric theory(2nd ed.). New York: McGraw-Hill.
  22. O'Neill, E. S., Dluhy, N. M., Fortier, P. J., & Michel, H. E. (2004). Knowledge acquisition, synthesis, and validation: A model for decision support systems. Journal of Advanced Nursing, 47(2), 134-142. http://dx.doi.org/10.1111/j.1365-2648.2004.03072.x
  23. Pretorius, A., & Cilliers, P. J. (2007). Development of a mental workload index: A systems approach. Ergonomics, 50(9), 1503-1515. http://dx.doi.org/10.1080/00140130701379055
  24. Rhodes, B. (1985). Occupational ideology and clinical decisionmaking in British nursing. International Journal of Nursing Studies, 22(3), 241-257. http://dx.doi.org/10.1016/0020-7489(85)90007-0
  25. Shin, K. R. (1998). Critical thinking ability and clinical decisionmaking skills among senior nursing students in associate and baccalaureate programmes in Korea. Journal of Advanced Nursing, 27(2), 414-418. http://dx.doi.org/10.1046/j.1365-2648.1998.00499.x
  26. Sung, M. H., & Eum, O. B. (2010). Professional autonomy and clinical decision making ability in clinical nurses. Journal of Korean Academy of Fundamentals of Nursing, 17(2), 274-281.
  27. Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgement in nursing. The Journal of Nursing Education, 45(6), 204-211.
  28. Tilden, V. P., Nelson, C. A., & May, B. A. (1990). Use of qualitative methods to enhance content validity. Nursing Research, 39(3), 172-175.
  29. Wang, Y., Chien, W. T., & Twinn, S. (2012). An exploratory study on baccalaureate-prepared nurses' perceptions regarding clinical decision-making in mainland China. Journal of Clinical Nursing, 21(11-12), 1706-1715. http://dx.doi.org/10.1111/j.1365-2702.2011.03925.x
  30. Yang, B. W. (2002). Understand and usage of multivariate data analysis. Seoul: Hack-Ji Inc.

Cited by

  1. Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study vol.19, pp.None, 2014, https://doi.org/10.1186/s12913-019-4194-y