The impact of an educational program on nurses' shared decision making attitudes: A randomized controlled trial

Hsu, Hsiu-Chin; Lin, Mei‐Hsiang

doi:10.1016/j.apnr.2022.151587

Cited by 3 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the traditional Chinese medical hierarchy, physicians lead communication with patients and families about decisions, and they are major leaders of decision making, whereas nurses have a low participation rate 31 . In fact, nurses, doctors, and patients are equal and share information in shared decision making 32 . With nurses' participation in shared decision making, they can act as a coordinating link between doctors and patients and their families and maintain adequate communication with physicians and patients 33 .…”

Section: Discussionmentioning

confidence: 99%

“…31 In fact, nurses, doctors, and patients are equal and share information in shared decision making. 32 With nurses' participation in shared decision making, they can act as a coordinating link between doctors and patients and their families and maintain adequate communication with physicians and patients. 33 In decision making, nurses provide timely explanations of decision-making information, which can improve patient and family satisfaction with decision making, help reach clinical decisions that are consistent with patients' preferences and values, and improve the quality of patients' lives.…”

Section: Icu Nurses' Decision-making Intention For Patients At the En...mentioning

confidence: 99%

See 1 more Smart Citation

Intensive Care Unit Nurses' Attitudes Toward Truth-Telling, Life-Sustaining Treatment, and Decision-Making Intention for End-of-Life Patients

Liu,

Zhang,

Chen

et al. 2023

J Hosp Palliat Nurs

View full text Add to dashboard Cite

Truth-telling and life-sustaining treatment decisions are important elements of the quality of patients' care at the end of life. As the primary caregivers of patients at the end of life in intensive care units (ICUs), ICU nurses play an important role in patient decision making and hospice care. This study aimed to investigate and analyze ICU nurses' attitudes toward truth-telling, attitudes toward end-of-life life-sustaining treatment, and end-of-life decision-making behavioral intentions. One hundred twenty-two ICU nurses participated in this cross-sectional survey. Data were collected using a validated questionnaire. The results showed that ICU nurses' attitudes toward telling patients the truth and end-of-life life-sustaining treatment were both positive, but further improvement is needed. Nurses have a higher willingness to make palliative care decisions for patients at the end of life and to help patients achieve a good death. The truth-telling attitude, the life-sustaining treatment attitude, and whether they knew that cardiopulmonary resuscitation could be legally forgone at the end of life were factors influencing ICU nurses' behavioral intention toward decision making for patients at the end of life (all Ps < .05). We conclude that nurses' participation in truth-telling and end-of-life decision making should be promoted, and timely hospice care should be provided to patients to help them achieve a good death.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Icu Nurses' Decision-making Intention For Patients At the En...mentioning

confidence: 99%

Intensive Care Unit Nurses' Attitudes Toward Truth-Telling, Life-Sustaining Treatment, and Decision-Making Intention for End-of-Life Patients

Liu,

Zhang,

Chen

et al. 2023

J Hosp Palliat Nurs

View full text Add to dashboard Cite

show abstract

“…환자는 간호사와 긴밀하고 빈번한 접촉을 하므로 의사와 공유하지 않은 개인적 가치와 선호도에 대한 정보를 더 많이 공유하는 경우가 많다 [15]. 선행연구에 따르면 간호사는 의료적 의사결정 과정에서 환 자에게 시의적절하고 신뢰할 수 있는 정보를 제공하고 환자와 그 가 족이 가질 수 있는 우려 사항을 명확히 파악하는 옹호자 역할을 한다 [16]. 간호사는 공유적 의사결정 과정에 환자를 포함시키려는 노력을 통해 환자의 관점에 대한 의료진의 이해를 넓힐 수 있다.…”

unclassified

The role of nurses in shared decision-making about caring for older adults with chronic disease: A qualitative descriptive study

Park,

Kim,

Jung

et al. 2023

J Korean Gerontol Nurs

View full text Add to dashboard Cite

Purpose: The objective of this study is to explore nurses’ perception of their roles in shared decision-making about caring for older adults with chronic disease. Methods: This study was a qualitative descriptive study. Ten nurses participated in the focus group interviews. The collected data were analyzed using qualitative content analysis to explore nurses’ roles in shared decision-making about care for older adults with chronic disease. Results: The shared decision-making experiences about caring for older adults with chronic disease of nurses yielded four main themes and ten categories including ‘facilitating involvement in decision-making’, ‘providing information for decision-making’, ‘respecting patient values and preferences’, ‘evaluating the outcome of decision-making’. Conclusion: This study explored the roles of nurses in shared decision-making about caring of older adults with chronic disease. Nurses can enhance the shared decision-making process by identifying the decision needs and by facilitating decision-making.

show abstract

Views, attitudes, and reported practices of nephrology nurses regarding shared decision-making in end-of-life care

Abu Hatoum,

Sperling

2023

Nurs Ethics

View full text Add to dashboard Cite

Background End-stage renal disease (ESRD) is the final stage of chronic kidney disease. Yet dialysis is not suitable for all ESRD patients. Moreover, while shared decision-making (SDM) is the preferred model for making medical decisions, little is known about SDM between nephrology nurses and ESRD patients in Israel. Research Objective Assessing the views, attitudes, practices, and ethical dilemmas of nephrology nurses in Israel regarding SDM with ESRD patients. Methods Using the descriptive quantitative approach, questionnaires were completed by 444 nephrology nurses in Israel. In addition to conducting descriptive statistics, t-tests for independent samples, f-tests for analysis of variance, and both tests for independence were also performed. Ethical Considerations The research aims, expected advantages and risks have been explained to respondents before completing the questionnaire to secure informed consent. Anonymity and confidentiality were ensured throughout the study. The study was approved by the Research Ethics Committee at the University of Haifa (Approval # 411/21). Results About one-third (30%–36.5%) of nurses reported discussing quality of life issues with ESRD patients, asking about their advance directives/power of attorney, exploring cultural/religious beliefs in end-of-life care, and ask about their preferred place of death. Nurses who convey high levels of patient-centered care (68.9%, p<0.0001), have high end-of-life training (76.2%, p<0.0001), and report cooperating with interdisciplinary teams (63.8%, p = 0.0415), also reported higher SDM practices than others. Nurses who refer less patients to palliative care (70%, p<0.0001) reported higher involvement in SDM compared to other nurses. Conclusions Nephrology nurses in Israel do not tend to implement the SDM model, despite its potential for improving quality of life for ESRD patients and their families and increasing conservative care options. Policy makers and educators in Israel should develop and implement training programs and support in the workplace, to enhance SDM between nephrology nurses and ESRD patients.

show abstract

The impact of an educational program on nurses' shared decision making attitudes: A randomized controlled trial

Cited by 3 publications

References 21 publications

Intensive Care Unit Nurses' Attitudes Toward Truth-Telling, Life-Sustaining Treatment, and Decision-Making Intention for End-of-Life Patients

Intensive Care Unit Nurses' Attitudes Toward Truth-Telling, Life-Sustaining Treatment, and Decision-Making Intention for End-of-Life Patients

The role of nurses in shared decision-making about caring for older adults with chronic disease: A qualitative descriptive study

Views, attitudes, and reported practices of nephrology nurses regarding shared decision-making in end-of-life care

Contact Info

Product

Resources

About