{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T02:31:29Z","timestamp":1771641089580,"version":"3.50.1"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Nursing"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Nurses are continually faced with multiple demands to make decisions in their clinical practice. The Nursing Decision-Making Instrument (NDMI) assesses nurses\u2019 decision-making styles during the several stages of this process. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p> To adapt the NDMI into European Portuguese and evaluate the psychometric properties of the Portuguese version in a population of Portuguese nurses. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Descriptive study design was used to examine psychometric properties of NDMI. Nonprobability convenience sample of 339 Portuguese direct-care nurses. Data were collected using a questionnaire comprising sociodemographic and professional data and the NDMI\u2013Portuguese version (NDMI-PT). An exploratory factor analysis (EFA; n\u2009=\u2009125) and a confirmatory factor analysis (CFA; n\u2009=\u2009214) were carried out using IBM SPSS (v. 24) and AMOS (v. 22). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The EFA revealed a structure of four latent factors, which represent the reorganized stages of the decision-making process. The CFA found a good overall fit of the model (\u03c7<jats:sup>2<\/jats:sup>\/df\u2009=\u20092.13; comparative fit index [CFI]\u2009=\u20090.91; goodness of fit index [GFI]\u2009=\u20090.82; Tucker-Lewis Index [TLI]\u2009=\u20090.90; root mean square error of approximation [RMSEA]\u2009=\u20090.07; maximum-likelihood expected cross-validation index [MECVI]\u2009=\u20093.13). The psychometric analysis of the theoretical structure revealed that the four factors reflect the decision-making stages and have a better overall fit than the empirical structure (\u03c7<jats:sup>2<\/jats:sup>\/df\u2009=\u20091.82; CFI\u2009=\u20090.94; GFI\u2009=\u20090.86; TLI\u2009=\u20090.93; RMSEA\u2009=\u20090.06; MECVI\u2009=\u20092.55). The analysis of the construct reliability of the NDMI-PT revealed that the overall internal consistency was excellent ( \u03b1=0.96). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> This study revealed that the empirical and theoretical structures were appropriate and valid for the sample under analysis. The NDMI-PT is a reliable and valid tool for assessing nurses\u2019 decision-making styles. Studies should be conducted to gain further insight into the robustness of this validated tool. <\/jats:p><\/jats:sec>","DOI":"10.1177\/23779608241278611","type":"journal-article","created":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T01:25:31Z","timestamp":1726277131000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Cultural Adaptation and Psychometric Evaluation of the Nursing Decision-Making Instrument Into European Portuguese"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8024-6734","authenticated-orcid":false,"given":"Ivo Cristiano Soares","family":"Paiva","sequence":"first","affiliation":[{"name":"ICBAS - School of Medicine and Biomedical Sciences, Porto University; Nursing School of Coimbra; Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal"}]},{"given":"Teresa Margarida Almeida","family":"Neves","sequence":"additional","affiliation":[{"name":"Nursing School of Coimbra, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal"}]},{"given":"Filipa Isabel Quaresma Santos","family":"Ventura","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7072-0359","authenticated-orcid":false,"given":"Ant\u00f3nio Carlos Lopes","family":"Vilela","sequence":"additional","affiliation":[{"name":"Nursing School of Porto, Porto, Portugal"},{"name":"CINTESIS - Research Center on Health Technologies and Services, Porto, Portugal"}]},{"given":"Isabel Maria Pinheiro Borges","family":"Moreira","sequence":"additional","affiliation":[{"name":"Nursing School of Coimbra, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"issue":"2","key":"bibr1-23779608241278611","volume":"92","author":"Albanesi B.","year":"2021","journal-title":"PubMed"},{"key":"bibr2-23779608241278611","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"bibr3-23779608241278611","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/524918"},{"key":"bibr4-23779608241278611","volume-title":"An\u00e1lise de dados em ci\u00eancias sociais: introdu\u00e7\u00e3o \u00e0s t\u00e9cnicas utilizando o SPSS","author":"Brymar A.","year":"1992"},{"key":"bibr5-23779608241278611","volume-title":"Structural equation modeling with AMOS \u2013 basic concepts, applications, and programming","author":"Byrne B. 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