title: Psychometric properties of the Clinical Decision-Making Self-Confidence Scale.
abstract: OBJECTIVE
  Nurses' self-confidence in handling acute patient deterioration events may influence decision-making capabilities and implementation of lifesaving interventions during such events. The study purpose is to provide further psychometric testing of the Clinical Decision-Making Self-Confidence Scale (CDMSCS).
  
  
  METHODS
  The psychometric properties and factor structure of the CDMSCS was examined.
  
  
  RESULTS
  A two-factor solution was discovered for the CDMSCS. Construct validity was further supported by statistically significant differences between registered nurses and nursing students' self-confidence level in handling deterioration events. Cronbach's alpha coefficients were acceptable for the subscales and instrument.
  
  
  CONCLUSIONS
  The CDMSCS is a valid and reliable instrument. Future studies should focus on establishing test-retest reliability and to determine factor loadings of subscale items to retain or delete cross-loading items.
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Hart
authors.forename: LeeAnna
authors.initials: L
authors.lastname: Spiva
authors.forename: Nicole
authors.initials: N
authors.lastname: Mareno
mesh_terms: D000328:Adult; D003657:Decision Making; D004644:Emotions; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009732:Nursing Care / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000523:psychology*; D011594:Psychometrics; D015203:Reproducibility of Results; D012649:Self Concept; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires / Q000592:standards*