Abstract
Clinical decision-making is a core competency in nursing practice, directly influencing patient outcomes, safety, and the overall quality of care. This paper explores a multidimensional approach to strengthening decision-making skills among nurses by integrating cognitive, experiential, organizational, and technological factors. Drawing on current evidence, the analysis highlights how critical thinking, reflective practice, and clinical experience interact to support sound judgments in complex care environments. The discussion also examines the role of interprofessional collaboration, simulation-based training, and digital decision-support tools in enhancing nurses’ ability to process information and respond effectively to dynamic clinical situations. By adopting a holistic framework that addresses both individual competencies and systemic enablers, this work underscores the need for comprehensive strategies to advance clinical decision-making capacity across all levels of nursing practice.

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Copyright (c) 2026 Raffaele Amodio, Marianna Lauritano, Paola Festa, Carmela Bruno, Francesca Coticelli, Vincenzo Di Lauro, Anna Campana, Ferdinando Longobardi, Vincenzo Elefante, Federica Galluzzo
