Client-Caregiver-Nurse Coalition Formation in Decision-Making Situatons during Home Visits
Aims. The purpose of this paper is to report the findings of an exploratory study designed to test a portion of the Theory of Collaborative Decision-Making in Nursing Practice for Triads by examining the relation between types of decisions & formation of coalitions during triadic interactions am...
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Published in | Journal of advanced nursing Vol. 52; no. 3; pp. 291 - 299 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
01.11.2005
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Subjects | |
Online Access | Get full text |
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Summary: | Aims. The purpose of this paper is to report the findings of an exploratory study designed to test a portion of the Theory of Collaborative Decision-Making in Nursing Practice for Triads by examining the relation between types of decisions & formation of coalitions during triadic interactions among older home healthcare clients, their caregivers & home healthcare nurses during seven admission visits for home health care. Background. Although home healthcare nurses include clients & family members in decision-making about care, few publications address the nature of interactions among triads of clients, caregivers & nurses in home health care & the association between decision-making & those interactions. Method. The data presented in this paper are a secondary analysis of data originally collected in 1994. The sample included 157 decision-making situations identified from interactions of seven triads of older home healthcare clients, their caregivers & nurses. Qualitative data were collected by participant observation & audio-recording of admission visit interactions among clients, caregivers & nurses. Content analysis, augmented by Ethnograph software, was used to analyse the data. Findings. Coalitions were evident in just eight of the 157 decision-making situations. All of the theoretically possible types of nursing care decisions (programme, operational control, agenda) were observed. Each coalition involved one nursing care decision; two coalitions formed in one triad. Seven coalitions formed between nurse & caregiver against client during two programme & five operational control decisions. One coalition formed between client & caregiver against nurse during an agenda decision. No coalitions formed between client & nurse against caregiver. Conclusions. Although the study sample was small, the findings expand understanding of the relation between types of decisions & formation of coalitions during triadic interactions in home health care, & provided empirical support for a portion of the Theory of Collaborative Decision-Making in Nursing Practice for Triads. 1 Table, 33 References. Adapted from the source document. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Feature-2 |
ISSN: | 0309-2402 |