Factors Related to Shared Decision Making Regarding Treatment Among Parents of Children Receiving Services at Emergency Department
Keywords:
Shared decision making, attitude, self-efficacy, critically ill pediatric, emergency departmentAbstract
The treatment of critically ill pediatric in resuscitation, emergency, and urgency levels at the
emergency department. Involving their parents in decision-making about treatment may lead to good care
and health practices and has a positive outcome on children’s health outcome. This descriptive correlational
study aimed to explore the factors related to shared decision-making regarding treatment among parents of
children with illness receiving services at an emergency department. Purposive sampling was used to select
family members of 85 children who received services in the emergency room at Maharaj Nakorn Chiang Mai
Hospital. Data were collected from May to November 2022. The research instruments consisted of a
demographic questionnaire, a questionnaire on parents’ attitudes with reliability of .92, a questionnaire on
parents’ self-efficacy with reliability of .95, and a questionnaire on the shared decision-making of parents
regarding treatment with reliability of .84. The data were analyzed using descriptive statistics and Spearman’s
rank correlation coefficient.
The results showed that parents’ attitudes and their shared decision-making about treatment for
critically ill pediatric patients at the emergency department had a moderate statistically significant positive
correlation (r = .349, p < .01). however, parents’ self-efficacy and the shared decision-making about treatment
had no statistically significant correlation (r = .152, p > .05).
This research suggests that healthcare providers should be aware of the importance of parents’
attitudes. Also, the parents’ involvement in shared decision-making regarding the effectiveness of their child’s
treatment should be supported.
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