A Research on the Relationship Between Intensive Care Nurses' Individual and Professional Characteristics, Decision-Making Styles, and Attitudes Toward Evidence-Based Nursing


Türkel S., POLAT Ş.

Nursing Open, vol.13, no.5, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 13 Issue: 5
  • Publication Date: 2026
  • Doi Number: 10.1002/nop2.70478
  • Journal Name: Nursing Open
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, Directory of Open Access Journals
  • Keywords: clinical decision-making, decision-making, evidence-based nursing, intensive care, nurse
  • Istanbul University Affiliated: Yes

Abstract

Aim: This descriptive correlational study aimed to examine the relationships between intensive care nurses' individual and professional characteristics, decision-making styles, and attitudes toward evidence-based nursing practice. Design: Cross-sectional study. Methods: The study was conducted with 279 intensive care nurses working in the intensive care units of two university hospitals in Istanbul between October and December 2022. Data were collected using a survey comprising a Descriptive Information Form, the Nurse Decision Making Scale, and the Evidence-Based Nursing Attitude Questionnaire. Results: A structural equation model was developed to analyse the relationships among variables. Examination of path coefficients revealed that nurses' decision-making levels were significantly predicted by the beliefs and expectations toward the EBNP subscale of evidence-based nursing practice (β2 = 0.48, p < 0.001, t = 9.67), duration of intensive care professional experience (β2 = 0.13, p = 0.008, t = 2.66), and engagement with current professional publications (β2 = 0.22, p < 0.001, t = 4.33). The regression model accounted for 35% of the variance in nurses' decision-making levels. Conclusion: Despite generally positive attitudes toward evidence-based nursing among intensive care nurses, the majority demonstrated a strong tendency toward intuitive decision-making approaches. Patient or Public Contribution: No patient or public involvement.