Participation of nurses in decision making for seriously ill adults.

Journal Article (Multicenter Study;Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Kennard, MJ; Speroff, T; Puopolo, AL; Follen, MA; Mallatratt, L; Phillips, R; Desbiens, N; Califf, RM; Connors, AF

Published Date

  • May 1996

Published In

Volume / Issue

  • 5 / 2

Start / End Page

  • 199 - 219

PubMed ID

  • 8704666

Electronic International Standard Serial Number (EISSN)

  • 1552-3799

International Standard Serial Number (ISSN)

  • 1054-7738

Digital Object Identifier (DOI)

  • 10.1177/105477389600500207


  • eng