Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study.

This study extends the Registered Nurses Forecasting (RN4CAST) study evidence base with newly collected data from Portuguese nurses working in acute care hospitals, in which the measurement of the quality of work environment, workload and its association with intention-to-leave emerge as of key importance. Data included surveys of 2235 nurses in 144 nursing units in 31 hospitals via stratified random sampling. Multilevel multivariate regression analysis shows that intention-to-leave is higher among nurses with a specialty degree, nurses aged 35-39, and in nursing units where nurses are less satisfied with opportunities for career advancement, staffing levels and participation in hospital affairs.

Cognitive abilities and clinical decision making in nursing.

This investigation focused the clinical decision-making process in a naturalistic context and its relationship to the nurses' abilities of critical thinking, creative thinking and emotional intelligence. Apart from describing a model of the clinical decision-making process in nursing, the results showed its continuous and interactive nature as well as that different patterns of decisions correspond to distinct patterns of those cognitive abilities. Despite some limitations, we consider that this study has implications in the caring, administration, education and nursing informatics areas.

Cognitive ability patterns and nurses' clinical decision making.

The present study concerns the clinical decision-making process in a naturalistic context and its relationship to the nurses' abilities of critical thinking, creative thinking and emotional intelligence. Apart from describing a model of the clinical decision-making process in nursing, the results showed its continuous and interactive nature as well as that different patterns of decisions correspond to distinct patterns of those cognitive abilities. Despite some limitations, we consider that this study has implications in the caring, administration, education and nursing informatics areas.