The importance of shared decision-making in the neonatal intensive care unit

被引:24
|
作者
Soltys, Frank [1 ]
Philpott-Streiff, Sydney E. [2 ]
Fuzzell, Lindsay [2 ]
Politi, Mary C. [2 ]
机构
[1] Washington Univ Sch Med St, Louis Children's Hosp,Dept Pediat,Div Newborn Med, Louis, St, Louis & St, St. Louis, MO USA
[2] Washington Univ Sch Med St, Dept Surg, Div Publ Hlth Sci, Louis, St, St. Louis, MO USA
关键词
BIRTH; RESUSCITATION; PERCEPTIONS; MODEL;
D O I
10.1038/s41372-019-0507-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective Neonatal intensive care unit (NICU) admissions are common and rising. Parents with infants in the NICU face difficult decisions about their infants' care. Few studies have investigated parents' engagement in NICU decisions and its effects on decision regret. Study design We surveyed parents of children who had a NICU stay in the past 3 years. We explored whether sociodemographic characteristics affected preferred decision involvement, shared decision-making with NICU clinicians, or decision regret. Multivariable linear regression analyses examined the relationship between shared decision-making and decision regret. Results Most parents preferred an active (212/405, 52.3%) or shared (139/405, 34.3%) approach to decision-making. No sociodemographic characteristics related to preferred decision involvement or shared decision-making (p's > 0.05). In multivariable analyses, shared decision-making, education and health literacy related to less decision regret (p's < 0.05). Conclusions These data suggest the importance of shared decision-making during NICU stays. Studies should identify ways to support parents through NICU decision-making.
引用
收藏
页码:504 / 509
页数:6
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