Abstract
Background: The decision partner concept emerged to describe someone who contributes to healthcare decision-making with a patient. There is a need for greater precision and consensus surrounding its conceptual definition and use in broader populations. Objective: To define and describe the decision partner concept within the context of healthcare decision-making. Design: A concept analysis. Data sources: We searched the following databases for articles published between 1990–2017: PsychINFO, PubMed, Embase, and CINAHL. We included qualitative, quantitative, or mixed methods studies that used the term decision partner in the context of healthcare decision-making. Methods: We applied the Walker and Avant method to identify the antecedents, attributes, related concepts, consequences, and empirical referents of the concept, with major themes identified. Results: From the 112 articles included in this concept analysis, 6 defining attributes of decision partner were identified: (1) has a relationship with the patient, (2) demonstrates a willingness to participate in decision-making, (3) articulates a clear understanding of both the patient's health condition and the decisions that must be made, (4) demonstrates decision-making self-efficacy; (5) exemplifies an emotional capacity to participate in decision-making, and (6) willing to fulfill several supportive roles including patient advocate and the “hub of information”. Conclusions: A unifying definition and discussion of the decision partner concept has been developed. Our findings: (1) offer insights into refining the concept across various diseases and healthcare encounters, (2) contribute to developing theoretical models and empirical research to refine antecedents, attributes, consequences, (3) serve as a foundation to develop instruments to measure the concept and (4) highlight the need to design interventions that include and support decision partners in healthcare decision-making.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 79-89 |
| Number of pages | 11 |
| Journal | International Journal of Nursing Studies |
| Volume | 92 |
| DOIs | |
| State | Published - Apr 1 2019 |
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Keywords
- Decision control preference
- Decision partner
- Decision-making
- Dyad
- Family
- Interpersonal
- Partner
- Relationality
ASJC Scopus subject areas
- Nursing(all)
Cite this
The decision partner in healthcare decision-making : A concept analysis. / Gray, Tamryn F.; Nolan, Marie T; Clayman, Marla L.; Wenzel, Jennifer.
In: International Journal of Nursing Studies, Vol. 92, 01.04.2019, p. 79-89.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - The decision partner in healthcare decision-making
T2 - A concept analysis
AU - Gray, Tamryn F.
AU - Nolan, Marie T
AU - Clayman, Marla L.
AU - Wenzel, Jennifer
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Background: The decision partner concept emerged to describe someone who contributes to healthcare decision-making with a patient. There is a need for greater precision and consensus surrounding its conceptual definition and use in broader populations. Objective: To define and describe the decision partner concept within the context of healthcare decision-making. Design: A concept analysis. Data sources: We searched the following databases for articles published between 1990–2017: PsychINFO, PubMed, Embase, and CINAHL. We included qualitative, quantitative, or mixed methods studies that used the term decision partner in the context of healthcare decision-making. Methods: We applied the Walker and Avant method to identify the antecedents, attributes, related concepts, consequences, and empirical referents of the concept, with major themes identified. Results: From the 112 articles included in this concept analysis, 6 defining attributes of decision partner were identified: (1) has a relationship with the patient, (2) demonstrates a willingness to participate in decision-making, (3) articulates a clear understanding of both the patient's health condition and the decisions that must be made, (4) demonstrates decision-making self-efficacy; (5) exemplifies an emotional capacity to participate in decision-making, and (6) willing to fulfill several supportive roles including patient advocate and the “hub of information”. Conclusions: A unifying definition and discussion of the decision partner concept has been developed. Our findings: (1) offer insights into refining the concept across various diseases and healthcare encounters, (2) contribute to developing theoretical models and empirical research to refine antecedents, attributes, consequences, (3) serve as a foundation to develop instruments to measure the concept and (4) highlight the need to design interventions that include and support decision partners in healthcare decision-making.
AB - Background: The decision partner concept emerged to describe someone who contributes to healthcare decision-making with a patient. There is a need for greater precision and consensus surrounding its conceptual definition and use in broader populations. Objective: To define and describe the decision partner concept within the context of healthcare decision-making. Design: A concept analysis. Data sources: We searched the following databases for articles published between 1990–2017: PsychINFO, PubMed, Embase, and CINAHL. We included qualitative, quantitative, or mixed methods studies that used the term decision partner in the context of healthcare decision-making. Methods: We applied the Walker and Avant method to identify the antecedents, attributes, related concepts, consequences, and empirical referents of the concept, with major themes identified. Results: From the 112 articles included in this concept analysis, 6 defining attributes of decision partner were identified: (1) has a relationship with the patient, (2) demonstrates a willingness to participate in decision-making, (3) articulates a clear understanding of both the patient's health condition and the decisions that must be made, (4) demonstrates decision-making self-efficacy; (5) exemplifies an emotional capacity to participate in decision-making, and (6) willing to fulfill several supportive roles including patient advocate and the “hub of information”. Conclusions: A unifying definition and discussion of the decision partner concept has been developed. Our findings: (1) offer insights into refining the concept across various diseases and healthcare encounters, (2) contribute to developing theoretical models and empirical research to refine antecedents, attributes, consequences, (3) serve as a foundation to develop instruments to measure the concept and (4) highlight the need to design interventions that include and support decision partners in healthcare decision-making.
KW - Decision control preference
KW - Decision partner
KW - Decision-making
KW - Dyad
KW - Family
KW - Interpersonal
KW - Partner
KW - Relationality
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UR - http://www.scopus.com/inward/citedby.url?scp=85061216723&partnerID=8YFLogxK
U2 - 10.1016/j.ijnurstu.2019.01.006
DO - 10.1016/j.ijnurstu.2019.01.006
M3 - Review article
C2 - 30743199
AN - SCOPUS:85061216723
VL - 92
SP - 79
EP - 89
JO - International Journal of Nursing Studies
JF - International Journal of Nursing Studies
SN - 0020-7489
ER -