Parental decision making involvement and decisional conflict: a descriptive study
Abstract Background 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 in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12887-017-0899-4 |
| _version_ | 1811206367930744832 |
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| author | Laura Boland Jennifer Kryworuchko Anton Saarimaki Margaret L. Lawson |
| author_facet | Laura Boland Jennifer Kryworuchko Anton Saarimaki Margaret L. Lawson |
| author_sort | Laura Boland |
| collection | DOAJ |
| description | Abstract Background 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. Method 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. Results 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 < 0.001). Further, parents with options were more likely to: feel sure about the decision (RR 1.08, 95% CI 1.02–1.15); understand the information (RR 1.92, 95% CI 1.63–2.28); be clear about the risks and benefits (RR 1.12, 95% CI 1.05–1.20); and, have sufficient support and advice to make a choice (RR 1.07, 95% CI 1.03–1.11). Conclusion Many parents in our sample experienced decisional conflict after their clinical consultation. Involving parents in the decision making process might reduce their risk of decisional conflict. Evidence based interventions that support parent decision making involvement, such as shared decision making, should be evaluated and implemented in pediatrics as a strategy to reduce parents’ decisional conflict. |
| first_indexed | 2024-04-12T03:46:14Z |
| format | Article |
| id | doaj.art-49b88ea671a948bc95657ad62c2de248 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-04-12T03:46:14Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-49b88ea671a948bc95657ad62c2de2482022-12-22T03:49:07ZengBMCBMC Pediatrics1471-24312017-06-011711810.1186/s12887-017-0899-4Parental decision making involvement and decisional conflict: a descriptive studyLaura Boland0Jennifer Kryworuchko1Anton Saarimaki2Margaret L. Lawson3University of Ottawa, Faculty of Health Sciences, Population HealthUniversity of Saskatchewan College of Nursing Health SciencesOttawa Hospital Research Institute & University of OttawaFamily Decision Services, CHEO Research Institute, Children’s Hospital of Eastern Ontario, University of OttawaAbstract Background 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. Method 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. Results 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 < 0.001). Further, parents with options were more likely to: feel sure about the decision (RR 1.08, 95% CI 1.02–1.15); understand the information (RR 1.92, 95% CI 1.63–2.28); be clear about the risks and benefits (RR 1.12, 95% CI 1.05–1.20); and, have sufficient support and advice to make a choice (RR 1.07, 95% CI 1.03–1.11). Conclusion Many parents in our sample experienced decisional conflict after their clinical consultation. Involving parents in the decision making process might reduce their risk of decisional conflict. Evidence based interventions that support parent decision making involvement, such as shared decision making, should be evaluated and implemented in pediatrics as a strategy to reduce parents’ decisional conflict.http://link.springer.com/article/10.1186/s12887-017-0899-4PediatricsParentsDecisional conflictShared decision makingFamily centered care |
| spellingShingle | Laura Boland Jennifer Kryworuchko Anton Saarimaki Margaret L. Lawson Parental decision making involvement and decisional conflict: a descriptive study BMC Pediatrics Pediatrics Parents Decisional conflict Shared decision making Family centered care |
| title | Parental decision making involvement and decisional conflict: a descriptive study |
| title_full | Parental decision making involvement and decisional conflict: a descriptive study |
| title_fullStr | Parental decision making involvement and decisional conflict: a descriptive study |
| title_full_unstemmed | Parental decision making involvement and decisional conflict: a descriptive study |
| title_short | Parental decision making involvement and decisional conflict: a descriptive study |
| title_sort | parental decision making involvement and decisional conflict a descriptive study |
| topic | Pediatrics Parents Decisional conflict Shared decision making Family centered care |
| url | http://link.springer.com/article/10.1186/s12887-017-0899-4 |
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