A psychometric evaluation of the Family Decision-Making Self-Efficacy Scale among surrogate decision-makers of the critically ill

Pignatiello, Grant A.; Irani, Elliane; Tahir, Sadia; Tsivitse, Emily; Hickman, Ronald L.

doi:10.1017/s1478951519000907

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…27. Our analytic strategy and reporting practices are consistent with best practice recommendations and consistent with prior published work (Costello & Osborne, 2005;Johnson & Morgan, 2016;Pett et al, 2003;Pignatiello et al, 2019).…”

Section: Discussionsupporting

confidence: 78%

“…Items are summed to form a total score ranging from 0 to 27, with higher scores representing a greater amount of decision fatigue. The scale's original development and psychometric validation was performed in family caregiving populations (Hickman et al, 2018; Pignatiello et al, 2019). To our knowledge, it has not been used or validated in clinician populations.…”

Section: Methodsmentioning

confidence: 99%

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Decision fatigue among clinical nurses during the COVID‐19 pandemic

Pignatiello

Tsivitse

O'Brien

et al. 2021

Journal of Clinical Nursing

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Aims and objectives The purpose of this study was to report the psychometric properties, including validity and reliability, of the decision fatigue scale (DFS). Background Decision fatigue may impair nurses’ ability to make sound clinical decisions and negatively impact patient care. Given the negative impact of the COVID‐19 pandemic on psychological well‐being and the workplace environment, decision fatigue may be even more apparent among clinical nurses. Valid assessment of this condition among clinical nurses may inform supportive interventions to mitigate the negative sequelae associated with states of decision fatigue. Design This study was a secondary analysis of a parent study using a cross‐sectional descriptive design. Methods A convenience sample of 160 staff nurses was recruited online from across the United States. Participants completed a demographic questionnaire and subjective measures of decision fatigue, nursing practice environment scale and traumatic stress. Exploratory factor analysis (EFA), correlation coefficients and internal consistency reliability coefficients were computed to examine the DFS’s validity and reliability within this sample. Results The EFA yielded a single factor, 9‐item version of the DFS. The DFS scores were strongly correlated with traumatic stress and moderately correlated with the nursing practice environment, and the scale displayed appropriate internal consistency. Conclusions This is the first known study to provide evidence of the DFS’s validity and reliability in a sample of registered nurses working during the COVID‐19 pandemic. The results of this study provide evidence of a reliable and valid assessment instrument for decision fatigue that can be used to measure the burden of decision‐making among registered nurses. Relevance to clinical practice Given the relationship between traumatic stress and the nursing work environment, decision fatigue may be a modifiable target for interventions that can enhance the quality of decision‐making among clinical nurses.

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Section: Discussionsupporting

confidence: 78%

Section: Methodsmentioning

confidence: 99%

Decision fatigue among clinical nurses during the COVID‐19 pandemic

Pignatiello

Tsivitse

O'Brien

et al. 2021

Journal of Clinical Nursing

Self Cite

View full text Add to dashboard Cite

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Factors associated with family decision-making self-efficacy among family members of patients with advanced cancer in mainland China

Hu,

Wang,

Jiang

et al. 2024

Pall Supp Care

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Objectives In Chinese culture, family members are the main decision maker on end-of-life (EoL) issues for patients with advanced cancer. Yet little is known about Chinese families’ confidence in making EoL decisions and its associated factors. This study aims to investigate the status and associated factors of Chinese family members’ confidence in making EoL decisions for patients with advanced cancer. Methods This cross-sectional study used a convenience sample of 147 family members of patients with stage III or stage IV cancer from a tertiary cancer center in Guangzhou, China. The questionnaires included demographic information of patients and their family members, patients’ EoL preferences, and the Chinese version of the Family Decision-Making Self-Efficacy (FDMSE) Scale. Results A total of145 family members (98.64%) completed the questionnaires. The average score of FDMSE was 3.92 ± 0.53. A multiple regression analysis showed that the factors associated with FDMSE included patients’ duration of disease, health insurance, participation in EoL decision-making, the expression of unfilled wishes, and family members’ employment status. Significance of results Chinese family members were not confident enough in making EoL decisions for patients with advanced cancer. It is recommended to develop cultural-tailored advanced care planning models to clarify patient preferences and to enhance the family members’ self-efficacy in making EoL decisions with or for patients with advanced cancer.

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Psychometric Evaluation of the Decision Fatigue Scale among Korean Registered Nurses

Hur,

Hickman

2024

Healthcare

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Nurses make decision for patients and the quality of nurses’ decision making can affect patient outcomes. For some reason, nurses are experiencing impaired decision making and it can negatively impact patient care. A valid and reliable instrument to assess decision fatigue may let people know about the concept and guide the development of new policies or interventions for Korean nurses’ decision fatigue. This study aimed to evaluate the psychometric properties of the Korean version of the decision fatigue scale. The design was a cross-sectional descriptive study and convenience sampling was used to recruit participants. A total of 247 nurses from across South Korea participated in an online survey. The survey consisted of demographic questionnaires, decision fatigue scale, nursing practice environment scale, and compassion fatigue scale. It was validated through confirmatory factor analysis that the Korean version of the decision fatigue scale was a single factor with the same structure as the original scale. The Korean version of the decision fatigue scale showed significant correlations with compassion fatigue, and the scale showed appropriate internal consistency. This study established well enough the psychometric characteristics of the Korean version of decision fatigue.

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A psychometric evaluation of the Family Decision-Making Self-Efficacy Scale among surrogate decision-makers of the critically ill

Cited by 4 publications

References 42 publications

Decision fatigue among clinical nurses during the COVID‐19 pandemic

Decision fatigue among clinical nurses during the COVID‐19 pandemic

Factors associated with family decision-making self-efficacy among family members of patients with advanced cancer in mainland China

Psychometric Evaluation of the Decision Fatigue Scale among Korean Registered Nurses

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