Does Workplace Stress Affect Decision-Making Styles of Clinical Nurses? A Survey Study

Denizsever S., ATEŞ N., HARMANCI SEREN A. K.

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