Factors influencing clinical decision-making skills among nurses in Malaysia: A three-level general linear mixed-effects analysis.

ABSTRACT:

Background

Clinical decision-making skills are fundamental to safe and effective nursing practice. While prior studies have identified individual-level factors, they have often overlooked the hierarchical structure of nursing practice.

Objective

This study aimed to investigate the complex determinants of clinical decision-making skills among Malaysian nurses at the individual, hospital-department, and regional levels using multilevel analysis.

Design

A quantitative, cross-sectional study.

Settings

Hospital departments across six diverse regions in Malaysia.

Participants

A total of 796 registered nurses (response rate = 99.5%) from 40 hospital departments participated in the final analysis.

Methods

A three-level mixed-effects regression model was u

SUBMITTER: Zainal NH 

PROVIDER: S-EPMC12925168 | biostudies-literature | 2026 Jun

REPOSITORIES: biostudies-literature