Abstract

Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning and adeptness of CDM. Currently, no instruments exist that measure perceived self-confidence and anxiety level of undergraduate nursing students related to CDM. The purpose of this research was to develop, test, and establish psychometric properties for a quantitative instrument that measures the levels of self-confidence and anxiety experienced by undergraduate nursing students while making clinical decisions. The new tool is entitled the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) scale. The tool is a self-report, Likert-type instrument with two subscales measuring levels of self-confidence and anxiety. Bandura's social cognitive theory, regarding self-efficacy and anxiety arousal framed the study along with two embedded nursing models which explain the relationship between self-confidence, anxiety, and CDM. Content validity and face validity were established through critique by a panel of internationally known experts in the area of CDM and by a panel of undergraduate student nurses and registered nurses.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. The author still retains copyright.

Krista A. White

Author Details

Krista A. White, PhD, RN, CCRN-K, CNE

Sigma Membership

Psi Pi, Tau

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Clinical Decision Making, Test Development, Nursing Student Confidence

Advisor

Cheryl Bowles

Degree

PhD

Degree Grantor

University of Nevada, Las Vegas

Degree Year

2011

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2020-03-23

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