Clinical decision-making of bachelor and clinical internship (professional) nursing students in Indonesia

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  • Annissa Novalia
    Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia. https://orcid.org/0000-0002-6693-3722
  • Shanti Farida Rachmi
  • Krisna Yetti
    Department of Basic Science and Fundamentals of Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.

ABSTRACT

Background: Clinical decision-making is an essential element of every professional nursing career. A nurse's aptitude for clinical decision-making influences the quality of the healthcare they provide. This research aims to describe the clinical decision-making among nursing students at Universitas Indonesia.

Design and Methods
: This research employed a cross-sectional design by sampling 216 students across several types and level of students programs in the University. The samples were selected using a stratified random sampling technique and met the inclusion criteria. The instrument of this research was the 2014 Nursing Decision Making Instrument (NDMI-R2014).  The survey instrument was translated from English into Indonesian, and its validity and reliability were tested (α Cronbach value = 0.816).

Results
: The results of the univariate analysis revealed that students’ clinical decision-making abilities vary; 59.2% in the analysis category, 40.3% in the quasi-rational category, and 0.5% in the intuitive category.

Conclusion
: This research concludes that the clinical decision-making ability of bachelor and professional nursing students program is in the analysis category which indicate that students’ clinical decision-making abilities involve their explicit-theoretical knowledge and are supported by evidence-based practices. Therefore, their clinical decision-making can be logically defended, though it requires a longer duration of time to strengthen those abilities.  The students’ clinical decision-making must continuously be improved to enable them to create precise decisions based on various situations and clinical conditions.

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