Evidence map›Paper›PMID 41779930›Full record

ArticleNurse educator

Self-Efficacy in Clinical Decision-Making Under Stress Among Senior Nursing Students.

Elizabeta Kadosh, Rita Alfasi Okounev, Dana Darienko, Ira Luxman Balasanov, Eman Mostafa Asali, Yamama Naser, Marah Taki Fdely, Violetta Rozani

Abstract read
In one paragraph

Article in Nurse educator. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Relationship Between Self-Efficacy and Burnout Syndrome in Resident Physicians in Metropolitan Lima.International journal of environmental research and public health · 2026
    Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elizabeta KadoshSchonbrunn School of Nursing, Sourasky (Ichilov) Medical Center, Tel Aviv, Israel (Ms Kadosh, Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, and Ms Taki Fdely).
Rita Alfasi OkounevSchonbrunn School of Nursing, Sourasky (Ichilov) Medical Center, Tel Aviv, Israel (Ms Kadosh, Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, and Ms Taki Fdely).
Dana DarienkoSchonbrunn School of Nursing, Sourasky (Ichilov) Medical Center, Tel Aviv, Israel (Ms Kadosh, Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, and Ms Taki Fdely).
Ira Luxman BalasanovSchonbrunn School of Nursing, Sourasky (Ichilov) Medical Center, Tel Aviv, Israel (Ms Kadosh, Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, and Ms Taki Fdely).
Eman Mostafa AsaliSchonbrunn School of Nursing, Sourasky (Ichilov) Medical Center, Tel Aviv, Israel (Ms Kadosh, Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, and Ms Taki Fdely).
Yamama NaserSchonbrunn School of Nursing, Sourasky (Ichilov) Medical Center, Tel Aviv, Israel (Ms Kadosh, Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, and Ms Taki Fdely).
Marah Taki FdelySchonbrunn School of Nursing, Sourasky (Ichilov) Medical Center, Tel Aviv, Israel (Ms Kadosh, Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, and Ms Taki Fdely).
Violetta RozaniDepartment of Nursing Sciences, Steyer School of Health Professions, Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel (Ms Alfasi Okounev, Ms Darienko, Ms Luxman Balasanov, Ms Mostafa Asali, Ms Naser, Ms Taki Fdely, and Dr Rozani).ORCID 0000-0001-6306-6267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical decision-making under stress is a critical competency for senior nursing students, as it influences their ability to manage complex patient needs and contributes to both patient safety and professional preparedness. PURPOSE: The aim was to examine the contribution of empowering clinical instruction, resilience, trait anxiety, and clinical satisfaction to senior nursing students' self-efficacy in clinical decision-making under stress.

methodsThis was a cross-sectional study and included 216 final-year students.

resultsRegression analysis identified empowerment ( β = .473), satisfaction ( β = .343), and resilience ( β = .130) as significant positive predictors of self-efficacy. The final model explained 70.9% of the variance in self-efficacy (adjusted R2 = 0.698).

conclusionsEducators should prioritize empowering behaviors, including autonomy, feedback, and decision-making opportunities, to enhance students' confidence in stressful situations and prepare competent nurses for safe, independent, high-quality care.

Indexed as

Clinical Decision-MakingSelf EfficacyStress, PsychologicalStudents, NursingAdultClinical CompetenceCross-Sectional StudiesEducation, Nursing, BaccalaureateEmpowermentFemaleHumansMaleNursing Education ResearchNursing Evaluation ResearchResilience, PsychologicalYoung Adultclinical educationclinical judgmentempowermentresilienceself-efficacy

Identifiers

PMID41779930
PMCPMC13102348

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.