Rational and Intuitive Decision-making Styles, Critical Thinking Dispositions and Associated Factors of Nurses

Ali Kaplan; Cevriye Özdemir

doi:10.25159/2520-5293/16047

Authors

Ali Kaplan Kayseri Üniversitesi https://orcid.org/0000-0001-8242-0110
Cevriye Özdemir Kayseri Üniversitesi https://orcid.org/0000-0002-9401-0044

DOI:

https://doi.org/10.25159/2520-5293/16047

Keywords:

clinical decision making, critical thinking, decision making, nursing

Abstract

Background: Nurses often use the clinical decision-making mechanism. This mechanism is influenced by critical thinking and rational and intuitive decision-making styles. This study’s aim was to determine the levels of rational and intuitive decision-making styles and critical thinking disposition of nurses.
Method: It is a prospective and cross-sectional descriptive study. Data were collected between May and August 2023. The study included 355 nurses working at two major hospitals in one of the largest cities in the Central Anatolia region. The data were gathered using a questionnaire consisting of a personal information form, Critical Thinking Disposition Scale and Rational and Intuitive Decision-making Styles Scale.
Results: The Critical Thinking Disposition Scale and Rational Decision-making Styles Scale scores of the nurses were above the average and the Intuitive Decision-making Styles Scores were close to the average. A positive and significant correlation has been found between nurses’ critical thinking dispositions and levels of rational and intuitive decision making. In addition, the linear regression analysis shows nurses’ critical thinking tendencies affect their rational decision-making and intuitive decision-making styles.
Conclusion: These findings suggest strengthening nurses’ critical thinking could improve both their rational and intuitive decision-making skills, thereby improving patient care outcomes by making effective clinical judgements.

References

Acavut, G., and S. Korkmaz. 2022. “Determination of the Effect of the COVID-19 Pandemic on the Burnout Situations of the Doctors, Nurses and Midwives.” Turkish Journal of Family Medicine and Primary Care 16 (1): 121–130. https://doi.org/10.21763/tjfmpc.997305

Aliakbari, F., M. Ghaedamini, F. Deris, and R. Masoudi. 2022. “Relationship Between Nurses’ Decision-Making Style and Their Disaster Response Competencies.” Disaster Medicine and Public Health Preparedness 16 (1): 19–24. https://doi.org/10.1017/dmp.2020.225

Arabacı, L. B., E. A. Korhan, Y. Tokem, and R. Torun. 2015. “Nursing Students’ Anxiety and Stress Levels and Contributing Factors Before, During and After First Clinical Placement.” Journal of Hacettepe University Faculty of Nursing 2 (1): 1–16.

Aydın, A., and F. Kurudirek. 2021. “The Effect of Nursing Students’ Critical Thinking Levels on Their Creativity.” Journal of Inonu University Health Services Vocational School 9 (1): 140–149. https://doi.org/10.33715/inonusaglik.831126

Bjørk, I. T., and G. A. Hamilton. 2011. “Clinical Decision Making of Nurses Working in Hospital Settings.” Nursing Research and Practice 2011: 524918. https://doi.org/10.1155/2011/524918

Cengel, A. B., E. Ateş, and E. Uğur. 2023. “Investigating the Relationship Between Critical Thinking Disposition and Job Satisfaction Among Critical Care Nurses.” CURARE-Journal of Nursing 1: 29–37. https://doi.org/10.26650/CURARE.2023.005

Chang, M. J., Y. J. Chang, S. H. Kuo, Y. H. Yang, and F. H. Chou. 2011. “Relationships Between Critical Thinking Ability and Nursing Competence in Clinical Nurses.” Journal of Clinical Nursing 20 (21–22): 3224–3232. https://doi.org/10.1111/j.1365-2702.2010.03593.x

Chen, C. T., and H. C. She. 2015. “The Effectiveness of Scientific Inquiry With/Without Integration of Scientific Reasoning.” International Journal of Science and Mathematics Education 13 (1): 1–20. https://doi.org/10.1007/s10763-013-9508-7

Chen, S. L., H. Y. Hsu, C. Chang, and E. C. Lin. 2016. “An Exploration of the Correlates of Nurse Practitioners’ Clinical Decision-Making Abilities.” Journal of Clinical Nursing

25: 1016–1024. https://doi.org/10.1111/jocn.13136

Choi, M., and J. Kim. 2015. “Relationships Between Clinical Decision-Making Patterns and Self-Efficacy and Nursing Professionalism in Korean Pediatric Nurses.” Journal of Pediatric Nursing 30 (6): 81–88. https://doi.org/10.1016/j.pedn.2015.07.001

Dikmen, Y. D., and Y. Y. Usta. 2013. “Critical Thinking in Nursing.” Suleyman Demirel University Journal of Health Science 4 (1): 31–38.

Erkuş, B., and N. Bahçecik. 2015. “Level of Critical Thinking and Problem-Solving Skills of Administrator Nurses and Nurses Who Work at Private Hospitals.” Clinical and Experimental Health Sciences 5 (1): 1–9. https://doi.org/10.5455/musbed.20141106035312

Falcó-Pegueroles, A., D. Rodríguez-Martín, S. Ramos-Pozón, and E. Zuriguel-Pérez. 2021. “Critical Thinking in Nursing Clinical Practice, Education and Research: From Attitudes to Virtue.” Nursing Philosophy 22 (1): e12332. https://doi.org/10.1111/nup.12332

Farčić, N., I. Barać, J. Plužarić, V. Ilakovac, S. Pačarić, Z. Gvozdanović, and R. Lovrić. 2020. “Personality Traits of Core Self-Evaluation as Predictors of Clinical Decision Making in the Nursing Profession.” PLOS ONE 15 (5): e0233435. https://doi.org/10.1371/journal.pone.0233435

Ime, Y., M. Kalı Soyer, and M. Ş. Keskinoğlu. 2020. “Adaptation of Rational and Intuitive Decision-making Styles Scale to Turkish.” OPUS Journal of Society Research 16:

1729–1740. https://doi.org/10.26466/opus.720827

Johansen, M. L., and J. L. O’Brien. 2016. “Decision Making in Nursing Practice: A Concept Analysis.” Nursing Forum 51: 40–48. https://doi.org/10.1111/nuf.12119

Kaya, A., and M. Şendir. 2021. “Critical Thinking Strategies and Dimensions in Nursing Education and Practices.” Journal of Nursing Science 4 (3): 163–168. https://doi.org/10.54189/hbd.874328

Kobya Bulup, H., and E. Bulut. 2020. “Critical Thinking Trends of Pediatric Nurses and the Affecting Factors.” Turkiye Klinikleri Journal of Nursing Sciences 12 (1): 37–48. https://doi.org/10.5336/nurses.2019-70655

Mahmoud, A. S., and H. A. Mohamed. 2017. “Critical Thinking Disposition Among Nurses Working in Public Hospitals at Port-Said Governorate.” International Journal of Nursing Sciences 4 (2): 128–134. https://doi.org/10.1016/j.ijnss.2017.02.006

Mirsaidi, G., S. Lakdizaji, and M. Ghojazadeh. 2012. “Individual-Social Effective Factors on Clinical Decision Making in Nurses.” Asian Journal of Medical and Pharmaceutical Research 2 (2): 38–42.

Öz-Aydın, S., S. Ekersoy, and B. Özkan. 2022. “To What Extent Do Curricula Support the Realization of Environmental Literacy in Turkey?” Journal of Education for Life 36 (1): 66–89. https://doi.org/10.33308/26674874.2022361354

Özden, D., H. Özveren, and E. Gülnar. 2018. “Nurse Students’ Clinical Decision-Making Abilities Level and the Factors That Affect Abilities.” E-Journal of Dokuz Eylul University Nursing Faculty 11 (1): 41–47.

Papathanasiou, I. V., C. F. Kleisiaris, E. C. Fradelos, K. Kakou, and L. Kourkouta. 2014. “Critical Thinking: The Development of an Essential Skill for Nursing Students.” Acta Informatica Medica 22 (4): 283–286. https://doi.org/10.5455/aim.2014.22.283-286

Polat, Ş., L. Kutlu, F. Ay, S. Purİsa, and H. A. Erkan. 2019. “Decision-Making Styles, Anxiety Levels and Critical Thinking Levels of Nurses.” Japan Journal of Nursing Science 16 (3): 309–321. https://doi.org/10.1111/jjns.12240

Price, B. 2015. “Applying Critical Thinking to Nursing.” Nursing Standard (2014+) 29 (51): 49. https://doi.org/10.7748/ns.29.51.49.e10005

Purkuloğlu, E., A. Ün, and F. Yürürdurmaz. 2019. “Nursing Decision Support Systems Applications.” Hacettepe Journal of Health Administration 22 (3): 491–514.

Rababa, M., and S. Al-Rawashdeh. 2021. “Critical Care Nurses’ Critical Thinking and Decision Making Related to Pain Management.” Intensive and Critical Care Nursing

63: 103000. https://doi.org/10.1016/j.iccn.2020.103000

Semerci, N., H. T. Karagöz, and N. A. Keleş. 2021. “The Relationship Between Decision-Making Styles and Emotional Intelligence in Nurses.” Kafkas Journal of Medical Sciences 11 (2): 1–6.

Tabrizi, M., M. A. Abdollahzadeh, and F. Sadeghi. 2015. “The Role of Critical Thinking in Clinical Decision Making of Nurses.” Iranian Journal of Nursing and Midwifery Research 20 (6): 626–630. https://doi.org/10.4103/1735-9066.171949

Tuncer, M., A. A. Demir, and H. V. Kaya. 2022. “Effect of Simulation-Based Learning on Critical Thinking and Decision-Making Skills of Nursing Students.” Nurse Education in Practice 60: 103263. https://doi.org/10.1016/j.nepr.2021.103263

Yılmaz, F., H. K. Duman, and M. K. Yalçın. 2022. “The Relationship Between Decision-Making Styles and Levels of Stress and Burnout in Healthcare Workers.” Journal of Health Science Research 1 (1): 9–16.

Zori, S., and B. Morrison. 2009. “Critical Thinking in Nurse Managers.” Nursing Economics 27: 75–98.

Zuriguel Pérez, E., M. T. Lluch Canut, A. Falcó Pegueroles, M. Puig Llobet, C. Moreno Arroyo, and J. Roldán Merino. 2015. “Critical Thinking in Nursing: Scoping Review of the Literature.” International Journal of Nursing Practice 21 (6): 820–830. https://doi.org/10.1111/ijn.12347