2013
DOI: 10.1097/nnr.0b013e318276250c
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Qualitative Analysis of Naturalistic Decision Making in Adults With Chronic Heart Failure

Abstract: These results support naturalistic decision making as the process used by this sample of adults with heart failure to make decisions about self-care.

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Cited by 43 publications
(71 citation statements)
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“…The NDM process exerts a strong influence on each of the self-care processes of maintenance, symptom perception, and management ( Figure 2). 6 The manner in which self-care decisions made by patients with HF are influenced by the NDM elements of person, problem, and environment is described while acknowledging how these decisions are influenced by knowledge, skills, experience, and values. It should be noted that, although person characteristics typically influence the decision-making process, which subsequently influences self-care actions, this sequence is not always linear and unidirectional.…”
Section: Differences Between the Original Theory And The Revised Theorymentioning
confidence: 99%
See 1 more Smart Citation
“…The NDM process exerts a strong influence on each of the self-care processes of maintenance, symptom perception, and management ( Figure 2). 6 The manner in which self-care decisions made by patients with HF are influenced by the NDM elements of person, problem, and environment is described while acknowledging how these decisions are influenced by knowledge, skills, experience, and values. It should be noted that, although person characteristics typically influence the decision-making process, which subsequently influences self-care actions, this sequence is not always linear and unidirectional.…”
Section: Differences Between the Original Theory And The Revised Theorymentioning
confidence: 99%
“…We have previously delineated the process of managing symptoms as a recognition-primed form of NDM. 6 Recognition-primed decisions 19 emphasize situational awareness and mental simulation of an action plan. On the basis of prior experience, situations are recognized as familiar (usually based on external cues such as signs and symptoms) and possible actions are mentally identified.…”
Section: Organizational Goals and Normsmentioning
confidence: 99%
“…A third process reflects explicit, deliberative, and effortful decision making (46). During explicit, naturalistic decision making, patients, often with input from family and friends, weigh the gist of trade-offs of uncertain benefits and harms and certain costs (116). Decision making is constrained by context, including available resources, particularly affordability.…”
Section: Principle 4 Constraints On Clinician and Patient Decision Mmentioning
confidence: 99%
“…Final intercoder reliability was determined to be greater than 95%. 12 All investigators reviewed and refined the code list during the analysis phase. Codes were clustered into themes based on CFIR constructs.…”
Section: Methodsmentioning
confidence: 99%