ArticleJournal of clinical nursing2022
Decision fatigue among clinical nurses during the COVID-19 pandemic.
Article in Journal of clinical nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- Work-life spillover, clinical decision-making, and quality of care in nursing: the role of negative interference.BMC nursing · 2026Article
- Decision Fatigue Among Chinese Nurse Managers: A Multicenter Cross-Sectional Study on Implicit Cognitive Load Determinants.Journal of nursing management · 2026Article
- The association between compassion fatigue and nurses' creativity: the mediating role of ego depletion.Frontiers in psychology · 2026Article
- Exploring Barriers and Protective Factors in Decision Fatigue Among Clinical Nursing Managers During the COVID-19 Pandemic: A Qualitative Content Analysis.Journal of nursing management · 2026Article
- Decision fatigue of surrogate decision-makers: a scoping review.BMC medical informatics and decision making · 2025Article
- Decision Fatigue in Nursing: An Evolutionary Concept Analysis.Health science reports · 2025Review
- Lengthy Shifts and Decision Fatigue in Out-of-Hours Primary Care: A Qualitative Study.Journal of evaluation in clinical practice · 2025Article
- Clinical decision fatigue: a systematic and scoping review with meta-synthesis.Family medicine and community health · 2025Article
- Resilience and professional identity among young healthcare workers in a Shanghai megahospital during COVID-19: a cross-sectional study.Frontiers in public health · 2025Article
- Association between nursing work environment and decision fatigue among clinical nurses: a moderated mediation analysis on the roles of job stress and resilience.Frontiers in psychology · 2025Article
- Analysis of influencing factors and prediction model for fatigue among medical staff at a large primary centralized medical observation point.Frontiers in public health · 2025Article
- Psychometric Evaluation of the Decision Fatigue Scale among Korean Registered Nurses.Healthcare (Basel, Switzerland) · 2024Article
- The influence of explainable vs non-explainable clinical decision support systems on rapid triage decisions: a mixed methods study.BMC medicine · 2023Article
- Decision fatigue among clinical nurses during the COVID-19 pandemic.Journal of clinical nursing · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
AIMS AND
objectivesThe purpose of this study was to report the psychometric properties, including validity and reliability, of the decision fatigue scale (DFS).
backgroundDecision fatigue may impair nurses' ability to make sound clinical decisions and negatively impact patient care. Given the negative impact of the COVID-19 pandemic on psychological well-being and the workplace environment, decision fatigue may be even more apparent among clinical nurses. Valid assessment of this condition among clinical nurses may inform supportive interventions to mitigate the negative sequelae associated with states of decision fatigue.
designThis study was a secondary analysis of a parent study using a cross-sectional descriptive design.
methodsA convenience sample of 160 staff nurses was recruited online from across the United States. Participants completed a demographic questionnaire and subjective measures of decision fatigue, nursing practice environment scale and traumatic stress. Exploratory factor analysis (EFA), correlation coefficients and internal consistency reliability coefficients were computed to examine the DFS's validity and reliability within this sample.
resultsThe EFA yielded a single factor, 9-item version of the DFS. The DFS scores were strongly correlated with traumatic stress and moderately correlated with the nursing practice environment, and the scale displayed appropriate internal consistency.
conclusionsThis is the first known study to provide evidence of the DFS's validity and reliability in a sample of registered nurses working during the COVID-19 pandemic. The results of this study provide evidence of a reliable and valid assessment instrument for decision fatigue that can be used to measure the burden of decision-making among registered nurses. RELEVANCE TO CLINICAL PRACTICE: Given the relationship between traumatic stress and the nursing work environment, decision fatigue may be a modifiable target for interventions that can enhance the quality of decision-making among clinical nurses.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.