Participation of Nurses in Decision Making for Seriously III Adults

Mary J. Kennard, Theodore Speroff, Ann Louise Puopolo, Marilyn A. Follen, Lee Mallatratt, Russell Phillips, Norman Desbiens, Robert M. Califf and Alfred F. Connors
Additional contact information
Mary J. Kennard: MetroHealth Medical Center
Theodore Speroff: MetroHealth Medical Center
Ann Louise Puopolo: Beth Israel Hospital
Marilyn A. Follen: Marshfield Clinic/St. Joseph Hospital
Lee Mallatratt: Duke University Medical Center
Russell Phillips: Beth Israel Hospital
Norman Desbiens: Marshfield Clinic/St. Joseph Hospital
Robert M. Califf: Duke University Medical Center
Alfred F. Connors: MetroHealth Medical Center

Clinical Nursing Research, 1996, vol. 5, issue 2, 199-219

Abstract: The purpose of this study is to describe the involvement of nurses in the decision-making process of seriously ill hospitalized adults. Nurses (696) completed interviews with 1,427 patients. Patient, surrogate, and physician interviews were also completed. Patients and surrogates perceive the nurse as more influential in decision making than does the nurse or physician. Many nurses reported having no (31%) or little (36%) knowledge of their patients' preferences, and 53% of the nurses did not advocate for their patients' preferences. Only 50% of the nurses reported educating their patients about the treatment plan chosen or discussing treatment options with their patients, and few (17%) discuss prognosis. This study indicates nurses are not actively involved in the decision-making process of their patients, especially older or more experienced nurses and those working in intensive care units.

Date: 1996
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:5:y:1996:i:2:p:199-219

DOI: 10.1177/105477389600500207

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