TY - JOUR
T1 - Präferenzen und Erleben von Patienten zur Beteiligung an pflegerischen Entscheidungen im Akutspital - eine Analyse der Übereinstimmung von Präferenz und Erleben sowie der Einflussfaktoren bezogen auf verschiedene Entscheidungstypen
AU - Smoliner, Andrea
AU - Hantikainen, Virpi
AU - Mayer, Hanna
AU - Ponocny-Seliger, Elisabeth
AU - Them, Christa
PY - 2009/12
Y1 - 2009/12
N2 - Patients' preferences regarding their participation in nursing care decisions represent a key aspect of the concept of evidence-based nursing; nonetheless, very little quantitative research has been carried out in this area. The aim of the present study was to describe the patients' preferences and experience concerning their participation in nursing care decision-making processes in acute hospitals. A total of 967 patients in five hospitals in Vienna participated in this study by completing questionnaires. The results revealed that 38.5 % of patients preferred the paternalistic style of decision-making, 42.1 % wanted to make decisions together with the nursing staff and 5.7 % expressed a wish to make their own decisions. During their hospital stay, however, patients experienced paternalistic decision-making to a higher degree than they wished for. Age, sex, form of treatment and subjectively experienced health condition represented person-related characteristics that influenced preferences regarding the form of decision-making. The results of this study underline the importance of collecting data on patients' preferences in decision-making processes in order to meet the social, legal, and professional demands of patient-oriented nursing care based on the most recent scientific knowledge.
AB - Patients' preferences regarding their participation in nursing care decisions represent a key aspect of the concept of evidence-based nursing; nonetheless, very little quantitative research has been carried out in this area. The aim of the present study was to describe the patients' preferences and experience concerning their participation in nursing care decision-making processes in acute hospitals. A total of 967 patients in five hospitals in Vienna participated in this study by completing questionnaires. The results revealed that 38.5 % of patients preferred the paternalistic style of decision-making, 42.1 % wanted to make decisions together with the nursing staff and 5.7 % expressed a wish to make their own decisions. During their hospital stay, however, patients experienced paternalistic decision-making to a higher degree than they wished for. Age, sex, form of treatment and subjectively experienced health condition represented person-related characteristics that influenced preferences regarding the form of decision-making. The results of this study underline the importance of collecting data on patients' preferences in decision-making processes in order to meet the social, legal, and professional demands of patient-oriented nursing care based on the most recent scientific knowledge.
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Austria
KW - Clinical Nursing Research/statistics & numerical data
KW - Cross-Sectional Studies
KW - Data Collection/statistics & numerical data
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Participation/psychology
KW - Patient Satisfaction
KW - Patient-Centered Care/statistics & numerical data
KW - Psychometrics/statistics & numerical data
KW - Reproducibility of Results
KW - Sex Factors
KW - Surveys and Questionnaires
KW - Young Adult
UR - http://www.scopus.com/inward/record.url?scp=77049090495&partnerID=8YFLogxK
U2 - 10.1024/1012-5302.22.6.411
DO - 10.1024/1012-5302.22.6.411
M3 - Artikel in Fachzeitschrift
C2 - 19943226
AN - SCOPUS:77049090495
SN - 1012-5302
VL - 22
SP - 411
EP - 419
JO - Pflege
JF - Pflege
IS - 6
ER -