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Participation of Nurses in Decision Making for Seriously III Adults

Author

Listed:
  • 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 Jr.

    (MetroHealth Medical Center)

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.

Suggested Citation

  • Mary J. Kennard & Theodore Speroff & Ann Louise Puopolo & Marilyn A. Follen & Lee Mallatratt & Russell Phillips & Norman Desbiens & Robert M. Califf & Alfred F. Connors Jr., 1996. "Participation of Nurses in Decision Making for Seriously III Adults," Clinical Nursing Research, , vol. 5(2), pages 199-219, May.
    • Handle: RePEc:sae:clnure:v:5:y:1996:i:2:p:199-219
    DOI: 10.1177/105477389600500207
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