Hall Patricia, Sanford Julie T, Demi Alice S
University of South Alabama, Mobile, AL 36688-0002, USA.
J Fam Nurs. 2008 Aug;14(3):347-62. doi: 10.1177/1074840708322235.
Implementation of the Patient Self-Determination Act (PSDA) in the United States has transferred decision making from the responsibility of health care professionals to the responsibility of family members. Dilemmas occurring as a result of this responsibility may cause stress and conflict among family members. The purpose of this study is to describe the patterns of decision making by family members of patients with life-threatening cardiac disease. Purposive sampling is used to select 10 wives of patients with life-threatening cardiovascular disease. Data are gathered through unstructured interviews and are analyzed using grounded theory and theory triangulation. Analysis of the data reveal three patterns of decision making: advocacy, acquiescence, and abdication.
美国《患者自主决定法案》（PSDA）的实施已将决策责任从医疗保健专业人员转移至家庭成员。这种责任所引发的困境可能会在家庭成员之间造成压力和冲突。本研究的目的是描述患有危及生命的心脏病患者的家庭成员的决策模式。采用目的抽样法选取10名患有危及生命的心血管疾病患者的妻子。通过非结构化访谈收集数据，并运用扎根理论和理论三角互证法进行分析。数据分析揭示了三种决策模式：支持、默许和放弃。
