scholarly journals Evidenced‐based practice of decision‐making process in oncofertility care among registered nurses: A qualitative study

Nursing Open ◽  
2020 ◽  
Author(s):  
Ching‐Ting Lien ◽  
Sheng‐Miauh Huang ◽  
Yi Hua Chen ◽  
Wen‐Ting Cheng
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Registered Nurses ◽  
Decision Making Process ◽  
Evidenced Based ◽  
Evidenced Based Practice

scholarly journals Termination of pregnancy following a prenatal diagnosis of Down syndrome: A qualitative study of the decision-making process of pregnant couples

2018 ◽  
Vol 97 (10) ◽  
pp. 1228-1236 ◽  
Author(s):  
Stina Lou ◽  
Kathrine Carstensen ◽  
Olav Bjørn Petersen ◽  
Camilla Palmhøj Nielsen ◽  
Lone Hvidman ◽  
...  
Keyword(s):  
Decision Making ◽  
Down Syndrome ◽  
Prenatal Diagnosis ◽  
Qualitative Study ◽  
Termination Of Pregnancy ◽  
Decision Making Process

Treatment decision-making for older adults with cancer: A qualitative study

2020 ◽  
pp. 096973302094575
Author(s):  
Ni Gong ◽  
Qianqian Du ◽  
Hongyu Lou ◽  
Yiheng Zhang ◽  
Hengying Fang ◽  
...  
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Cancer Patients ◽  
Family Members ◽  
Treatment Decision ◽  
Chinese Society ◽  
Decision Making Process ◽  
Treatment Decision Making ◽  
The Family ◽  
Older Cancer Patients

Background: Independent decision-making is one of the basic rights of patients. However, in clinical practice, most older cancer patients’ treatment decisions are made by family members. Objective: This study attempted to analyze the treatment decision-making process and formation mechanism for older cancer patients within the special cultural context of Chinese medical practice. Method: A qualitative study was conducted. With the sample saturation principle, data collected by in-depth interviews with 17 family members and 12 patients were subjected to thematic analysis. Ethical considerations: The study was approved by the ethics committees of Sun Yat-sen University. All participants provided verbal informed consent after being told their rights of confidentiality, anonymity, and voluntary participation. They had the right to refuse to answer questions and could withdraw at any time. Results: Three themes emerged: (1) complex process; (2) transformation of family decision-making power; and (3) individual compromise. Family members inevitably had different opinions during the long process of treatment decision-making for older cancer patients. The direction of this process could be regarded as an extension of the family power relationship. The patient usually compromised the decision to survive, which was made by family members. Conclusion: This study describes the treatment decision-making process of older cancer patients in the context of Chinese culture. The reasons underlying this process are related to the views on life and death and family values. An individual is a part of the family, which is often seen as the minimal interpersonal unit in Chinese society. It is significant that while emphasizing patient autonomy in the decision-making process, health professionals should also pay attention to the important roles of culture and family.

Sexting, power, and patriarchy: Narratives of sexting from a college population

2020 ◽  
pp. 146144482090951 ◽  
Author(s):  
Sara Bonilla ◽  
Mallaigh McGinley ◽  
Sharon Lamb
Keyword(s):  
Decision Making ◽  
Body Image ◽  
Qualitative Study ◽  
Decision Making Process ◽  
Image Management ◽  
College Population ◽  
Past Experiences ◽  
Perceived Outcomes ◽  
Relational Contexts ◽  
College Aged Students

This qualitative study explores the sexting experiences of college-aged students with attention to gendered understandings and motivations of sexting. We gathered data on the decision-making process, relational contexts in which sexting occurred, body-image management, and perceived outcomes of past experiences. Participants in this study were asked to describe two experiences of sexting behavior in short vignettes, and then they were prompted to respond to additional questions about the vignette and sexting. A total of 342 vignettes were read and analyzed using discourse analytic strategies of reading for positioning, construction of discourses, and implied actions.

Policy Consultation in Malaysia Public Service

2021 ◽  
Vol 7 (1) ◽  
pp. 1-9
Author(s):  
Fazni Mat Arifin ◽  
Nooraini Othman
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Policy Implementation ◽  
Public Service ◽  
Policy Process ◽  
Stakeholder Management ◽  
National Policy ◽  
Government Agencies ◽  
Decision Making Process ◽  
Consultative Process

The aim of this article is to discuss the process of public policymaking and how the policy consultation helps to elaborate the processes involved in enhancing cooperation among government agencies. Existing literature indicates that there has never been any research that studies in detail on the consultative process of the process of policymaking in the country’s public service. The only available guidance is in the National Policy on the Development and Implementation of Regulations to improve the decision-making process for policy implementation. Therefore, a further reference has been done to a qualitative study on the policymaking process of the proposed National Halal Policy. The study indicates that an effective consultative approach must be able to act as either a vehicle of communication or stakeholder management in the policy process. The framework of negotiation-based policy consultative informs clearly on what types of consultative process practiced by the country and how does it operate in promoting wider participation in the policy process.

Registered Nurses and Licensed/Registered Practical Nurses: A Description and Comparison of Their Decision-Making Process

2008 ◽  
Vol 21 (4) ◽  
pp. 56-72 ◽  
Author(s):  
Sheryl Boblin ◽  
Pamela Baxter ◽  
Kim Alvarado ◽  
Andrea Baumann ◽  
Noori Akhtar-Danesh
Keyword(s):  
Decision Making ◽  
Registered Nurses ◽  
Decision Making Process ◽  
Practical Nurses

Understanding the Low Take-Up of Home-Based Dialysis Through Shared Decision-Making: A Qualitative Study

2021 ◽  
Author(s):  
David Dallimore ◽  
Gareth W. Roberts ◽  
Leah McLaughlin ◽  
Gail Williams Wales Renal ◽  
James Chess ◽  
...  
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Prior Knowledge ◽  
Shared Decision Making ◽  
Decision Making Process ◽  
Shared Decision ◽  
Framework Analysis ◽  
Home Dialysis ◽  
Home Based ◽  
Decision Making Processes

Abstract Background Despite home dialysis having many advantages, take-up by people with established renal failure is low in many countries. Previous studies highlight complex social, psychological, economic and health-system obstacles to patients choosing home dialysis. The study explored how people who are pre-dialysis, caregivers and health professionals together navigate common shared decision-making processes, and assesses how this impacts on choice of dialysis, conservative treatment or transplant. Methods This qualitative study took place in Wales, a country within the United Kingdom with a publicly-funded healthcare system. From 5 renal centres, education literature used in patient education was collected and content analysis applied. The theoretical framework was the MAGIC shared decision-model. From February 2019 until data saturation was reached in January 2020, semi-structured interviews with a purposive sample of 51 patients, 41 caregivers and 49 renal professionals were undertaken. Interview data were analysed using framework analysis. Patient and public representatives were involved throughout. Results Thematic findings are presented as: Prior knowledge, choice talk, options talk, decision talk. Gaps were found in both knowledge and understanding at every stage of the decision-making process and amongst all involved. Patients and caregivers came with varying levels of prior knowledge and understanding, which can result in misinformation and biases that contaminate the shared decision-making process. This is not always recognised by renal professionals. Presentation of treatment options through education programmes was often found to be inadequate, biased or poorly understood. Such deficiencies create partialities towards some treatments and, in particular, mitigate against the take-up of home therapies, even when they may be the most appropriate. A logic model and a road map to further evolving clinical practice was developed. Conclusions There are critical points in the process at where change could benefit patients. Patients need to be better prepared and their preconceived ideas and misconceptions gently challenged. Healthcare professionals need to update their knowledge in order to provide the best advice and guidance. Shared decision-making processes need to be individually-tailored so that there is more attention paid to the benefits of home based options, and on people who could chose a home therapy but select a different option.

Moral distress in the resuscitation of extremely premature infants

2014 ◽  
Vol 22 (1) ◽  
pp. 52-63 ◽  
Author(s):  
Jennifer Molloy ◽  
Marilyn Evans ◽  
Kevin Coughlin
Keyword(s):  
Decision Making ◽  
Registered Nurses ◽  
Premature Infants ◽  
Health Professionals ◽  
Interprofessional Education ◽  
Moral Distress ◽  
Ethical Decision Making ◽  
Neonatal Resuscitation ◽  
Secondary Data ◽  
Decision Making Process

Objective: To increase our understanding of moral distress experienced by neonatal registered nurses when directly or indirectly involved in the decision-making process of resuscitating infants who are born extremely premature. Design: A secondary qualitative analysis was conducted on a portion of the data collected from an earlier study which explored the ethical decision-making process among health professionals and parents concerning resuscitation of extremely premature infants. Setting: A regional, tertiary academic referral hospital in Ontario offering a perinatal program. Participants: A total of 15 registered nurses were directly or indirectly involved in the resuscitation of extremely premature infants. Methods: Interview transcripts of nurses from the original study were purposefully selected from the original 42 transcripts of health professionals. Inductive content analysis was conducted to identify themes describing factors and situations contributing to moral distress experienced by nurses regarding resuscitation of extremely premature infants. Ethical considerations: Ethical approval was obtained from the research ethics review board for both the initial study and this secondary data analysis. Results: Five themes, uncertainty, questioning of informed consent, differing perspectives, perceptions of harm and suffering, and being with the family, contribute to the moral distress felt by nurses when exposed to neonatal resuscitation of extremely premature infants. An interesting finding was the nurses’ perceived lack of power and influence in the neonatal resuscitation decision-making process. Conclusion: Moral distress continues to be a significant issue for nursing practice, particularly among neonatal nurses. Strategies are needed to help mediate the moral distress experienced by nurses, such as debriefing sessions, effective communication, role clarification, and interprofessional education and collaboration.

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