TY - JOUR
T1 - Self-determination in surgical patients in five European countries
AU - Vaelimaeki, Maritta Anneli
AU - Leino-Kilpi, Helena
AU - Grönroos, Matti
AU - Dassen, Theo
AU - Gasull, Maria
AU - Lemonidou, Chryssoula
AU - Scott, P. Anne
AU - Benedicta, Sr Marianne
PY - 2004/12/1
Y1 - 2004/12/1
N2 - Objective: To analyze the effects of informational support, desire for behavioral involvement in health decision-making (behavioral involvement), opportunities to make decisions, and independence on subjective health status in surgical patients. A theoretical model of self-determination was applied and tested. Methods: The data were collected by structured questionnaires with a sample of 1,454 surgical patients in five European countries. LISREL analyses were used to test the theoretical causal model of self-determination. Results: Patients' perceptions of informational support received from nursing professionals and their desired involvement in health decision-making affected patients' opportunities to make decisions and further their independence level, which in turn affected patients' subjective health status. Conclusions: Understanding of factors that increase self-determination in patients can help health care professionals to promote patients' well-being.
AB - Objective: To analyze the effects of informational support, desire for behavioral involvement in health decision-making (behavioral involvement), opportunities to make decisions, and independence on subjective health status in surgical patients. A theoretical model of self-determination was applied and tested. Methods: The data were collected by structured questionnaires with a sample of 1,454 surgical patients in five European countries. LISREL analyses were used to test the theoretical causal model of self-determination. Results: Patients' perceptions of informational support received from nursing professionals and their desired involvement in health decision-making affected patients' opportunities to make decisions and further their independence level, which in turn affected patients' subjective health status. Conclusions: Understanding of factors that increase self-determination in patients can help health care professionals to promote patients' well-being.
KW - Decision-making
KW - Health status
KW - Self-determination
UR - http://www.scopus.com/inward/record.url?scp=13744262148&partnerID=8YFLogxK
U2 - 10.1111/j.1547-5069.2004.04056.x
DO - 10.1111/j.1547-5069.2004.04056.x
M3 - Journal article
C2 - 15636409
SN - 1527-6546
VL - 36
SP - 305
EP - 311
JO - Journal of Nursing Scholarship
JF - Journal of Nursing Scholarship
IS - 4
ER -