ReviewHealth science reports2025
Decision Fatigue in Nursing: An Evolutionary Concept Analysis.
Review in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- An integrative review on unveiling the causes and effects of decision fatigue to develop a multi-domain conceptual framework.Frontiers in cognition · 2025Pooled it
- Cognitive Ergonomics: Addressing Decision Fatigue in Dentistry.Journal of dental research, dental clinics, dental prospects · 2026Article
- Mediating Effect of Psychological Capital on the Relationship Between Role Stress and Decision Fatigue Among Clinical Nurses.Nursing open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Decision fatigue, a critical cognitive challenge for nurses, significantly impacts patient care quality and individual well-being. This concept analysis aims to thoroughly examine decision fatigue in nursing, a consequence of frequent and challenging decisions for healthcare personnel. Methods: Utilizing Rodgers' evolutionary method, this concept analysis of "decision fatigue" in nursing involved a systematic literature search across PubMed, Scopus, Web of Science, and Google Scholar. Relevant studies were analyzed using content analysis to extract key themes. Findings were synthesized to define the concept and explore its antecedents, consequences, and practical implications. Results: Decision fatigue, defined as the cumulative effect of continuous decision-making and associated decision fatigue, manifests across behavioral, physiological, and cognitive dimensions. It can lead to a decline in optimal decision-making capacity throughout a shift. Both personal factors (e.g., insufficient sleep, stress, lack of support) and organizational factors (e.g., personnel shortages, heavy workloads, conflicting decisions) contribute. For instance, studies showed that nurses tend to make more cautious and less efficient decisions over time, and patient admission rates decreased in the final hours of emergency department shifts. Consequences include reduced patient care quality and safety, ineffective decision-making, job stress, burnout, and increased job turnover. Conclusion: Decision fatigue poses a significant challenge for nurses, with serious implications for both nurses and patient outcomes. Understanding its contributing factors and implementing mitigation strategies are essential to support nurses and improve patient care.
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.