Development of Decision Making Behaviors in Long Term Care Management of the Elderly of Registered Nurses

Abstract

          This exploratory, sequential mixed-method study conducted in 2 phases. This research has the objectives to develop and validate the quality of measurement tools of Decision Making Behaviors Scale (DMBS) for Registered Nurses. In the qualitative phase, DMBS items were generated using the data collected from semi-structured interviews were performed on the data collected from 18 Registered Nurses and a literature review. In the quantitative phase, examined for the content validity by a panel of expert. The content validity index of the DMBS was .89. The reliability with alpha coefficient of this instrument was .90. To evaluate construct validity, exploratory and confirmatory factor analyses were performed on the data collected from 312 Registered Nurses.

          Research finding: In this study, 2 components were extracted from 43 items through exploratory factor analysis: 1) Decision Quality was consisted of 4 role as follows: (1) The Abilities Role (2) The Information Role (3) The Trust Role and (4) The unstructured problem rule) and 2) Decision acceptance was consisted of 4 role as follows: (1) The acceptance rule (2) The acceptance priority rule (3) The conflict rule and (4) The fairness rule. The components accounted for 66.96% and 68.69% of the total variance. The results of the confirmatory factor analysis suggested the goodness-of-fit indices was acceptable. Furthermore, the internal consistency and composite reliability indices of all factors were greater than 0.7