Developing decision-making skills is essential in education in order to be a competent nurse. The purpose of this study was to examine and compare the perceptions of clinical decision-making skills of students enrolled in accelerated and basic baccalaureate nursing programs. A comparative descriptive research design was used for this study. Jenkins' Clinical Decision Making in Nursing Scale (CDMNS) was administered to a convenience sample of accelerated and basic nursing students. Questionnaires were cross-sectional as data were collected at one point in time within three weeks of graduation. The instrument provided one overall score for clinical decision-making and four subscale scores. Four subscales include: search for alternatives and options scale, canvassing of objectives and values scale, evaluation and re-reevaluation of consequences scale, and search for information and unbiased assimilation of new information scale. A total of 142 students participated in the study, 113 basic baccalaureate and 29 accelerated nursing students. Accelerated nursing students had a higher overall score on CDMNS indicating a higher perceived decision-making ability. Of four subscales, accelerated nursing program students scored higher on three of the scales than basic nursing program students. Accelerated nursing students scored higher on search for alternatives and options, evaluation and re-evaluation of consequences, and search for information and unbiased assimilation of new information while basic nursing students scored higher on canvassing of objectives and values. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]