• Mary L Johansen and Janice L O'Brien.
• New Jersey Collaborating Center for Nursing, School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ.
• Nurs Forum. 2016 Jan 1; 51 (1): 40-8.

PurposeThe study aims to gain an understanding of the concept of decision making as it relates to the nurse practice environment.MethodsRodgers' evolutionary method on concept analysis was used as a framework for the study of the concept. Articles from 1952 to 2014 were reviewed from PsycINFO, Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), JSTOR, PubMed, and Science Direct.FindingsFindings suggest that decision making in the nurse practice environment is a complex process, integral to the nursing profession. The definition of decision making, and the attributes, antecedents, and consequences, are discussed. Contextual factors that influence the process are also discussed. An exemplar is presented to illustrate the concept.ConclusionDecision making in the nurse practice environment is a dynamic conceptual process that may affect patient outcomes. Nurses need to call upon ways of knowing to make sound decisions and should be self-reflective in order to develop the process further in the professional arena. The need for further research is discussed.© 2015 Wiley Periodicals, Inc.

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