{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T17:57:10Z","timestamp":1778349430180,"version":"3.51.4"},"reference-count":78,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,4,10]],"date-time":"2017-04-10T00:00:00Z","timestamp":1491782400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Florida Medical Malpractice Joint Underwriting Association","award":["64018155"],"award-info":[{"award-number":["64018155"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hum Factors"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to describe the relationship between negative affect (NA), decision-making style, time stress, and decision quality in health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health care providers must often make swift, high-stakes decisions. Influencing factors of the decision-making process in this context have been understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Within a sample of labor and delivery nurses, physicians, and allied personnel, we used self-report measures to examine the impact of trait factors, including NA, decision-making style, and perceived time stress, on decision quality in a situational judgment test (Study 1). In Study 2, we observed the influence of state NA, state decision-making style, state time stress, and their relationship with decision quality on real clinical decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In Study 1, we found that trait NA significantly predicted avoidant decision-making style. Furthermore, those who were higher on trait time stress and trait avoidant decision-making style exhibited poorer decisions. In Study 2, we observed associations between state NA with state avoidant and analytical decision-making styles. We also observed that these decision-making styles, when considered in tandem with time stress, were influential in predicting clinical decision quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NA predicts some decision-making styles, and decision-making style can affect decision quality under time stress. This is particularly true for state factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Application<\/jats:title>\n                    <jats:p>Individual differences, such as affect and decision-making style, should be considered during selection. Training to reduce time stress perceptions should be provided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0018720817703740","type":"journal-article","created":{"date-parts":[[2017,4,10]],"date-time":"2017-04-10T13:28:51Z","timestamp":1491830931000},"page":"937-955","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Decision Making on the Labor and Delivery Unit: An Investigation of Influencing Factors"],"prefix":"10.1177","volume":"59","author":[{"given":"Megan E.","family":"Gregory","sequence":"first","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety, Michael E. 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