Premium
Self‐Determination in Surgical Patients in Five European Countries
Author(s) -
Välimäki Maritta,
LeinoKilpi Helena,
Grönroos Matti,
Dassen Theo,
Gasull Maria,
Lemonidou Chryssoula,
Scott P. Anne,
Benedicta Marianne
Publication year - 2004
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/j.1547-5069.2004.04056.x
Subject(s) - lisrel , independence (probability theory) , test (biology) , sample (material) , perception , psychology , health care , nursing , medicine , family medicine , structural equation modeling , paleontology , statistics , chemistry , mathematics , chromatography , economics , neuroscience , biology , economic growth
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.