International Journal of Caring of Sciences, 2021 (Peer-Reviewed Journal)
Background: Clinical nurses must make accurate decisions to provide safe and qualified nursing care in
hospitals where the working environment gets stressful each day.
Aim: To determine the decision-making styles and workplace stress levels of clinical nurses and to investigate
whether their stress levels affect the decision-making styles of them.
Methodology: Descriptive and cross-sectional study. This study took place in a public university hospital in
Istanbul in 2016. The sample consisted of 337 nurses. Data were collected by a questionnaire that consisted of a
demographic data form, “Melbourne Decision Making Questionnaire I-II” and “Workplace Stress Scale.”
Result: There was a positive correlation between the scores of the Melbourne Decision Making Questionnaire II
and the Workplace Stress Scale. There were differences between the participants’ Melbourne Decision Making
Questionnaire I-II scores according to their Workplace Stress Scale scores.
Conclusion: Nurses’ workplace stress levels and their decision-making styles were significantly related to each
other. Nurses who were exposed to high level of workplace stress had a low level of self-esteem (selfconfidence) and tended to make decisions in hyper-vigilance style.
Keywords: clinical nursing, decision making, workplace stress