Parental decision making involvement and decisional conflict: a descriptive study

Decisional conflict is a state of uncertainty about the best treatment option among competing alternatives and is common among adult patients who are inadequately involved in the health decision making process. In pediatrics, research shows that many parents are insufficiently involved in decisions...

Full description

Saved in:
Bibliographic Details
Published in:BMC pediatrics 2017-06, Vol.17 (1), p.146-146, Article 146
Main Authors: Boland, Laura, Kryworuchko, Jennifer, Saarimaki, Anton, Lawson, Margaret L
Format: Article
Language:English
Subjects:
Adolescent
Ambulatory care
Child
Child, Preschool
Children
Children & youth
Childrens health
Clinical decision making
Conflict (Psychology)
Decision Making
Decisional conflict
Ethical aspects
Evaluation
Families & family life
Family centered care
Female
Health aspects
Hospitals
Humans
Infant
Infant, Newborn
Informed consent (Medical law)
Integrated approach
Male
Medical screening
Palliative care
Parents
Parents & parenting
Parents - psychology
Patients
Pediatrics
Physicians
Professional-Family Relations
Shared decision making
Surveys and Questionnaires
Uncertainty
Values
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Decisional conflict is a state of uncertainty about the best treatment option among competing alternatives and is common among adult patients who are inadequately involved in the health decision making process. In pediatrics, research shows that many parents are insufficiently involved in decisions about their child's health. However, little is known about parents' experience of decisional conflict. We explored parents' perceived decision making involvement and its association with parents' decisional conflict. We conducted a descriptive survey study in a pediatric tertiary care hospital. Our survey was guided by validated decisional conflict screening items (i.e., the SURE test). We administered the survey to eligible parents after an ambulatory care or emergency department consultation for their child. Four hundred twenty-nine respondents were included in the analysis. Forty-eight percent of parents reported not being offered treatment options and 23% screened positive for decisional conflict. Parents who reported being offered options experienced less decisional conflict than parents who reported not being offered options (5% vs. 42%, p 
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-017-0899-4