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Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’

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  • Yulia Gendler

    (Department of Nursing, School of Health Sciences, Ariel University, Ariel 40700, Israel
    Department of Nursing, School of Health Professions, Tel-Aviv University, Tel-Aviv 69978, Israel)

  • Einat Birk

    (Pediatric Heart Institute, Schneider Children’s Medical Center of Israel, Petah-Tikva 4920235, Israel
    Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 69978, Israel)

  • Nili Tabak

    (Department of Nursing, School of Health Professions, Tel-Aviv University, Tel-Aviv 69978, Israel)

  • Silvia Koton

    (Department of Nursing, School of Health Professions, Tel-Aviv University, Tel-Aviv 69978, Israel)

Abstract

The decision-making process regarding termination of pregnancy following prenatal diagnosis of congenital heart disease is a stressful experience for future parents. Janis and Mann’s conflict decision-making model describes seven ideal stages that comprise vigilant information-gathering as an expression of the qualitative decision-making process. In our study, we attempted to determine whether parents who face the decision regarding termination of pregnancy undertake a qualitative decision-making process. Data were collected over 2-year period using structural questionnaires. The sample consisted of two hundred forty participants; sixty-nine (28.75%) declared that their decision was to terminate the pregnancy. A significant difference in the quality of the decision-making score was noted between parents who decided to continue with the pregnancy vs. parents who opted for termination (mean score of 10.15 (5.6) vs. 18.51 (3.9), respectively, p < 0.001). Sixty-two (90%) participants within the termination of pregnancy group went through all seven stages of vigilant decision-making process and utilized additional sources for information and consultation. Parents who decided to continue with the pregnancy made swift decisions, often without considering the negative and positive outcomes; this decision-making pattern is considered non-vigilant and ineffective. Identification of future parents at risk of going through an ineffective decision-making process may help health professionals to determine the best way to provide them with information and support.

Suggested Citation

  • Yulia Gendler & Einat Birk & Nili Tabak & Silvia Koton, 2022. "Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9137-:d:872398
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    References listed on IDEAS

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    3. Cheryl Rabin & Nili Tabak, 2006. "Healthy participants in phase I clinical trials: the quality of their decision to take part," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(8), pages 971-979, August.
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