title: An integrated, ethically driven environmental model of clinical decision making in emergency settings.
abstract: OBJECTIVE
  To explore the relationship between multiple variables within a model of critical thinking and moral reasoning.
  
  
  METHODS
  A quantitative descriptive correlational design using a purposive sample of 200 emergency nurses. Measured variables were accuracy in clinical decision-making, moral reasoning, perceived care environment, and demographics. Analysis was by bivariate correlation using Pearson's product-moment correlation coefficients, chi square and multiple linear regression analysis.
  
  
  RESULTS
  The elements as identified in the integrated ethically-driven environmental model of clinical decision-making (IEDEM-CD) corrected depict moral reasoning and environment of care as factors significantly affecting accuracy in decision-making.
  
  
  CONCLUSIONS
  The integrated, ethically driven environmental model of clinical decision making is a framework useful for predicting clinical decision making accuracy for emergency nurses in practice, with further implications in education, research and policy.
  
  
  CONCLUSIONS
  A diagnostic and therapeutic framework for identifying and remediating individual and environmental challenges to accurate clinical decision making.
authors: University of Massachusetts, Amherst.
authors: Lisa
authors: L
authors: Wolf
mesh_terms: D000328:Adult; D000368:Aged; D003657:Decision Making; D016529:Emergency Nursing; D004993:Ethics, Nursing; D006801:Humans; D008875:Middle Aged; D016294:Models, Nursing; D009741:Nursing Staff, Hospital / Q000523:psychology*; D000078329:Workforce