Nursing Institute "Professor Radivoje Radić", Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
Department of Surgery, University Hospital Centre Osijek, 31 000 Osijek, Croatia.
Int J Environ Res Public Health. 2020 Apr 28;17(9):3059. doi: 10.3390/ijerph17093059.
The aim of this study is to examine the influence of nurses' self-concept (NSC) on clinical decision-making (CDM) among nursing students and hospital nurses. A further aim is to examine whether there is a difference in CDM and NSC between hospital nurses with various levels of experience and nursing students. A cross-sectional study was conducted during 2018 in the Faculty of Dental Medicine and Health and the University Hospital Center, in Osijek, Croatia, EU. The respondents consisted of 568 hospital nurses, and 129 BSc nursing students. Data were collected with the clinical decision-making in nursing scale (CDMNS) and the nurses' self-concept questionnaire (NSCQ). There was no correlation between CDM and NSC in either students or hospital nurses. Hospital nurses generally had significantly higher scores in CDM than nursing students. On the other hand, students had a significantly higher total NSC level. The results of this study suggest that experience has a positive impact on nurses' CDM skills. The high NSC estimated by students enables them to easily take up their clinical roles and approach the patient in a holistic manner, which is an attitude that gradually develops during studies and with clinical experience.
本研究旨在探讨护士自我概念（NSC）对护理学生和医院护士临床决策（CDM）的影响。进一步的目的是检验具有不同经验水平的医院护士和护理学生之间在 CDM 和 NSC 方面是否存在差异。这是一项在 2018 年于克罗地亚欧什耶克牙医学院和大学医院中心进行的横断面研究。调查对象包括 568 名医院护士和 129 名护理本科学生。采用护理临床决策量表（CDMNS）和护士自我概念问卷（NSCQ）收集数据。无论是学生还是医院护士，CDM 与 NSC 之间均无相关性。医院护士的 CDM 评分普遍显著高于护理学生。另一方面，学生的总体 NSC 水平显著较高。本研究结果表明，经验对护士的 CDM 技能有积极影响。学生所估计的高 NSC 使他们能够轻松地承担其临床角色，并以整体方式接近患者，这是一种在学习和临床经验中逐渐发展的态度。
