Psychometric Properties of the Clinical Decision-Making Self-Confidence Scale

2014 ◽  
Vol 22 (2) ◽  
pp. 312-322 ◽  
Author(s):  
Patricia L. Hart ◽  
LeeAnna Spiva ◽  
Nicole Mareno
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Psychometric Properties ◽  
Clinical Decision Making ◽  
Psychometric Testing ◽  
Clinical Decision ◽  
Determine Factor ◽  
Self Confidence ◽  
Acute Patient ◽  
Confidence Scale

Background and Purpose: Nurses’ self-confidence in handling acute patient deterioration events may influence decision-making capabilities and implementation of lifesaving interventions during such events. The study purpose is to provide further psychometric testing of the Clinical Decision-Making Self-Confidence Scale (CDMSCS). Methods: The psychometric properties and factor structure of the CDMSCS was examined. Results: A two-factor solution was discovered for the CDMSCS. Construct validity was further supported by statistically significant differences between registered nurses and nursing students’ self-confidence level in handling deterioration events. Cronbach’s alpha coefficients were acceptable for the subscales and instrument. Conclusion: The CDMSCS is a valid and reliable instrument. Future studies should focus on establishing test–retest reliability and to determine factor loadings of subscale items to retain or delete cross-loading items.

scholarly journals Dedicated Education Unit: Improving graduating nursing students’ preparedness for practice

2020 ◽  
Vol 11 (1) ◽  
pp. 59
Author(s):  
Persephone Vargas ◽  
Kimberly Dimino ◽  
Spencer Mullen
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Test Scores ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Test Results ◽  
Dedicated Education Unit ◽  
Self Confidence ◽  
Post Test ◽  
Readiness For Practice

Background and Objective: Majority of new graduate nurses are not adequately prepared to assume the dynamic and complex role of today’s professional nurse. The Dedicated Education Unit (DEU) is a clinical teaching model developed in response to the limitations of traditional clinical model (TCM). The aim of the study is to examine the readiness for practice and level of confidence in clinical decision making among graduating nursing students in the DEU and compare it with the students in the TCM.Methods: A pre-test/post-test design was used.  The Casey-Fink Readiness for Practice was utilized in the pre and post-test surveys and the Nursing Anxiety and Self-Confidence in Clinical Decision-Making was used in the post test. Data were analyzed in aggregate and pre-test scores were compared to post-test scores at the cohort level using t-test.Results: The pre-test results showed no significant difference between the DEU and TCM groups. However, the post-test results showed higher levels of readiness for practice and higher self-confidence and lower anxiety in clinical decision making among the DEU students.Conclusions: The study provides evidence on the impact of the DEU in providing graduating nursing students with high quality clinical education to better prepare them for practice.

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