Toward family-centered inpatient medical care: The role of parents as participants in medical decisions.

Title

Toward family-centered inpatient medical care: The role of parents as participants in medical decisions.

Creator

Tarini BA; Christakis DA; Lozano P

Publisher

The Journal Of Pediatrics

Date

2007

Subject

Child; Female; Hospitalization; Humans; Male; Adult; Data Collection; Logistic Models; Middle Aged; Self Efficacy; Longitudinal Studies; Multivariate Analysis; Consumer Participation; Family Nursing; adolescent; decision making; Parents/psychology

Description

OBJECTIVES: To determine parental participation in medical decision-making (MDM) during hospitalization and its association with parental self-efficacy and to explore other factors associated with participation. STUDY DESIGN: We surveyed parents of children admitted to a pediatric medical unit to measure parental report of participation in MDM during hospitalization and self-efficacy with physician interactions (categorized into tertiles). We performed multivariate logistic regression to evaluate the association between self-efficacy and parental participation, controlling for potential confounders. RESULTS: One hundred thirty of 278 eligible parents completed surveys and 86% reported participating in MDM about their child's care. After adjusting for covariates, parents with scores in the middle and highest self-efficacy tertiles had higher odds of participating in MDM compared with parents in the lowest tertile. Younger parents and parents of previously hospitalized children were also more likely to participate although parents with a high school education or less were less likely. CONCLUSIONS: Self-efficacy was significantly associated with parental participation in MDM during hospitalization after adjusting for confounding factors. Interventions to increase self-efficacy may also improve parental participation in MDM.
2007

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

690--5, 695.e1

Issue

6

Volume

151

Citation

Tarini BA; Christakis DA; Lozano P, “Toward family-centered inpatient medical care: The role of parents as participants in medical decisions.,” Pediatric Palliative Care Library, accessed July 25, 2021, https://pedpalascnetlibrary.omeka.net/items/show/14371.

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