Document Detail

Qualitative analysis of naturalistic decision making in adults with chronic heart failure.
MedLine Citation:
PMID:  23154659     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Self-care of heart failure has been described as a naturalistic decision-making process, but the data available to defend this description are anecdotal.
OBJECTIVES: The aim of this study was to explore the process used by adults with chronic heart failure to make decisions about their symptoms.
METHODS: This was a secondary analysis of data obtained from four mixed methods studies. The full data set held qualitative data on 120 adults over the age of 18 years. For this analysis, maximum variation sampling was used to purposively select a subset of 36 of the qualitative interviews to reanalyze.
RESULTS: In this sample, equally distributed by gender, 56% Caucasian, between 40 and 98 years, the overarching theme was that decisions about self-care reflect a naturalistic decision-making process with components of situation awareness with mental simulation of a plausible course of action and an evaluation of the outcome of the action. In addition to situation awareness and mental simulation, three key factors were identified as influencing self-care decision making: (a) experience; (b) decision characteristics such as uncertainty, ambiguity, high stakes, urgency, illness, and involvement of others in the decision-making process; and (c) personal goals.
DISCUSSION: These results support naturalistic decision making as the process used by this sample of adults with heart failure to make decisions about self-care.
Barbara Riegel; Victoria Vaughan Dickson; Maxim Topaz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nursing research     Volume:  62     ISSN:  1538-9847     ISO Abbreviation:  Nurs Res     Publication Date:    2013 Mar-Apr
Date Detail:
Created Date:  2013-03-05     Completed Date:  2013-04-15     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  0376404     Medline TA:  Nurs Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  91-8     Citation Subset:  AIM; IM; N    
School of Nursing, University of Pennsylvania, Philadelphia, PA 19104-6096, USA.
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MeSH Terms
Aged, 80 and over
Chronic Disease
Decision Making*
Heart Failure / psychology*,  therapy*
Middle Aged
Nursing Methodology Research
Qualitative Research
Self Care / psychology*

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