The Decision Making Process of Cardiac Patients Choosing High Risk Treatment Modalities

2.50
Hdl Handle:
http://hdl.handle.net/10755/159451
Type:
Presentation
Title:
The Decision Making Process of Cardiac Patients Choosing High Risk Treatment Modalities
Abstract:
The Decision Making Process of Cardiac Patients Choosing High Risk Treatment Modalities
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Chu, Nancy, PhD, APRN, BC
Title:Assistant Professor of Nursing
Contact Address:Nursing, PO Box 26901, Oklahoma City, OK, 73190, USA
Co-Authors:Beverly K. Bahr, MS, RN, Cardiac Rehab Coordinator; Mark Winkelman, BSN, RN, Case Manager
The purpose of this research was to develop a database on the decision making process by cardiac patients about treatment options in the critical care setting of a VA hospital. Decisions about invasive treatment procedures such as cardiac surgeries, PTCA, heart catheterization, stent placement are options the cardiac patient frequently faces. The specific aims were to elicit the meaning of decision making by the patient; to identify the type of decision making the patient prefers; to identify the type of decision making that took place; to compare the preferred type to the actual type used; to identify the format of information given to the patient; to identify the format preferred by the patient; and to compare the process of patient’s decision making to existing decision making models. The research employed a descriptive and qualitative design using in-depth interviews. The conceptual framework of autonomy or respect for autonomy guided this research. A convenience sample of 27 inpatients of a CCU and telemetry unit who had declared a decision about a high risk procedure 72 hours prior were interviewed by a registered nurse. The instrument used was an eight open-ended question interview guide; each interview lasted one hour and was tape-recorded with patient’s consent. The constant comparison method was used to identify conceptualization of decision making. The major themes that emerged were autonomy and survival. Useful information on how patient decision was viewed as making an emergent and inevitable choice was also obtained. Information for nursing care and teaching was incidentally obtained.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Decision Making Process of Cardiac Patients Choosing High Risk Treatment Modalitiesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159451-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Decision Making Process of Cardiac Patients Choosing High Risk Treatment Modalities </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chu, Nancy, PhD, APRN, BC</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Nursing, PO Box 26901, Oklahoma City, OK, 73190, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Beverly K. Bahr, MS, RN, Cardiac Rehab Coordinator; Mark Winkelman, BSN, RN, Case Manager </td></tr><tr><td colspan="2" class="item-abstract">The purpose of this research was to develop a database on the decision making process by cardiac patients about treatment options in the critical care setting of a VA hospital. Decisions about invasive treatment procedures such as cardiac surgeries, PTCA, heart catheterization, stent placement are options the cardiac patient frequently faces. The specific aims were to elicit the meaning of decision making by the patient; to identify the type of decision making the patient prefers; to identify the type of decision making that took place; to compare the preferred type to the actual type used; to identify the format of information given to the patient; to identify the format preferred by the patient; and to compare the process of patient&rsquo;s decision making to existing decision making models. The research employed a descriptive and qualitative design using in-depth interviews. The conceptual framework of autonomy or respect for autonomy guided this research. A convenience sample of 27 inpatients of a CCU and telemetry unit who had declared a decision about a high risk procedure 72 hours prior were interviewed by a registered nurse. The instrument used was an eight open-ended question interview guide; each interview lasted one hour and was tape-recorded with patient&rsquo;s consent. The constant comparison method was used to identify conceptualization of decision making. The major themes that emerged were autonomy and survival. Useful information on how patient decision was viewed as making an emergent and inevitable choice was also obtained. Information for nursing care and teaching was incidentally obtained.</td></tr></table>en_GB
dc.date.available2011-10-26T22:01:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:01:42Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.