Decision-Making Preference in Health Care toward a Competent Patient and Family Involvement

2.50
Hdl Handle:
http://hdl.handle.net/10755/304115
Category:
Abstract
Type:
Presentation
Title:
Decision-Making Preference in Health Care toward a Competent Patient and Family Involvement
Author(s):
Ito, Misae; Murakami, Kyoko; Kakeda, Takahiro; Hattori, Keiko
Lead Author STTI Affiliation:
Tau Nu
Author Details:
Misae Ito, RN, RMW, MSN, PhD, m-ito@mw.kawasaki-m.ac.jp; Kyoko Murakami, RN, NMW; Takahiro Kakeda, MSN, RN, PHN; Keiko Hattori, RN, PhD;
Abstract:

Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013

Purpose:

The purpose of this study is to clarify the differences of perception of the preferences of competent adults for involving family in health care decision-making; the consistency of Decision Control Preference (DCP) of the adult and their family members; and the relevance between the consistency and the family functioning.

Methods:

A structured questionnaire was administered to 21 pairs of a healthy adult and a family member whom they preferred to involve in important health care decisions in Japan. The Decision-Making Scales (Ito, et al, 2010) has 9 items ranging from “Patient makes final decision” to “Physician makes final decision,” which was adapted from the DCP Scale (Degner, 1992; 1997) and modified version of this scale (Nolan, et al., 2005). Family functioning was measured using the Family Assessment Device (FAD), which was originally developed by Epstein, et. al. (Epstein, 1983) and translated into Japanese (Saeki, 1997). 

Results:

10 males and 11 females and their family members answered questionnaires. The most common decision-making preference desired by two-thirds of the participants was that “The patient finally makes his/her own decision after consulting with the physician and family.” Two-thirds of the adults and their families thought family could make decisions in health care to some extent on behalf of a competent patient. Only four pairs of the adults and their family members matched on the DCPS, and there were no significant differences between the DCPS matched and the FAD and its subscales.

Conclusion:

The decision-making preferences toward a competent patient among the adults and their family members were varied, but family could play a crucial role in health care decision-making. Nurses are in the ideal role to facilitate discussions of preferences between patients and their family members.

Keywords:
Family; Decision-Making in Health Care; Autonomy
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDecision-Making Preference in Health Care toward a Competent Patient and Family Involvementen_GB
dc.contributor.authorIto, Misaeen_GB
dc.contributor.authorMurakami, Kyokoen_GB
dc.contributor.authorKakeda, Takahiroen_GB
dc.contributor.authorHattori, Keikoen_GB
dc.contributor.departmentTau Nuen_GB
dc.author.detailsMisae Ito, RN, RMW, MSN, PhD, m-ito@mw.kawasaki-m.ac.jp; Kyoko Murakami, RN, NMW; Takahiro Kakeda, MSN, RN, PHN; Keiko Hattori, RN, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304115-
dc.description.abstract<p>Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013</p><b>Purpose: </b> <p>The purpose of this study is to clarify the differences of perception of the preferences of competent adults for involving family in health care decision-making; the consistency of Decision Control Preference (DCP) of the adult and their family members; and the relevance between the consistency and the family functioning. <p><b>Methods: </b> <p>A structured questionnaire was administered to 21 pairs of a healthy adult and a family member whom they preferred to involve in important health care decisions in Japan. The Decision-Making Scales (Ito, et al, 2010) has 9 items ranging from “Patient makes final decision” to “Physician makes final decision,” which was adapted from the DCP Scale (Degner, 1992; 1997) and modified version of this scale (Nolan, et al., 2005). Family functioning was measured using the Family Assessment Device (FAD), which was originally developed by Epstein, et. al. (Epstein, 1983) and translated into Japanese (Saeki, 1997).  <p><b>Results: </b> <p>10 males and 11 females and their family members answered questionnaires. The most common decision-making preference desired by two-thirds of the participants was that “The patient finally makes his/her own decision after consulting with the physician and family.” Two-thirds of the adults and their families thought family could make decisions in health care to some extent on behalf of a competent patient. Only four pairs of the adults and their family members matched on the DCPS, and there were no significant differences between the DCPS matched and the FAD and its subscales. <p><b>Conclusion: </b> <p>The decision-making preferences toward a competent patient among the adults and their family members were varied, but family could play a crucial role in health care decision-making. Nurses are in the ideal role to facilitate discussions of preferences between patients and their family members.en_GB
dc.subjectFamilyen_GB
dc.subjectDecision-Making in Health Careen_GB
dc.subjectAutonomyen_GB
dc.date.available2013-10-22T20:29:22Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:22Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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