Self-determination in surgical patients in five European countries

Maritta Anneli Vaelimaeki, Helena Leino-Kilpi, Matti Grönroos, Theo Dassen, Maria Gasull, Chryssoula Lemonidou, P. Anne Scott, Sr Marianne Benedicta

Research output: Journal article publicationJournal articleAcademic researchpeer-review

13 Citations (Scopus)


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.
Original languageEnglish
Pages (from-to)305-311
Number of pages7
JournalJournal of Nursing Scholarship
Issue number4
Publication statusPublished - 1 Dec 2004
Externally publishedYes


  • Decision-making
  • Health status
  • Self-determination

ASJC Scopus subject areas

  • General Nursing


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