| Abstrakt: |
Background: Currently, participatory decision-making between patients and clinicians is considered an important component of quality health care. Older adults are often portrayed as desiring a more passive, traditional role in care, though there is little evidence to support this view. Little information is available about the relationship between perceptions regarding involvement in decision-making and patient satisfaction in older adults.Purpose: To investigate demographic and perceptions of shared decision-making factors contributing to patient satisfaction in older adults.Methods A longitudinal survey design was implemented. The sample for this study included older enrollees in a managed care plan who returned baseline and 1-year questionnaires (n= 611) containing demographics, health status, perceived shared decision-making and ratings of patient satisfaction with decisions.Results: Multiple regression was used to model the effects of age, gender, health status, education level, and perceived involvement decision making at baseline on decision satisfaction scores at 12 months. Findings indicated baseline level of perceived involvement in decision making was a statistically significant predictor (p < .001) of patient satisfaction at 12 months.Conclusions: Perceived involvement in decisions may be one mechanism impacting decision satisfaction. Nurses are well-positioned for advocacy and leadership roles facilitating involvement in decision-making. [ABSTRACT FROM AUTHOR] |
