title: Self-determination in surgical patients in five European countries.
abstract: 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.
authors.affiliation: University of Turku, Department of Nursing Science, 20014 Turku, Finland. numava@uta.fi
authors.forename: Maritta
authors.initials: M
authors.lastname: Välimäki
authors.forename: Helena
authors.initials: H
authors.lastname: Leino-Kilpi
authors.forename: Matti
authors.initials: M
authors.lastname: Grönroos
authors.forename: Theo
authors.initials: T
authors.lastname: Dassen
authors.forename: Maria
authors.initials: M
authors.lastname: Gasull
authors.forename: Chryssoula
authors.initials: C
authors.lastname: Lemonidou
authors.forename: P Anne
authors.initials: PA
authors.lastname: Scott
authors.forename: Marianne Benedicta
authors.initials: MB
authors.lastname: Arndt
mesh_terms: D000203:Activities of Daily Living; D003431:Cross-Cultural Comparison; D003657:Decision Making; D005260:Female; D005387:Finland; D005858:Germany; D006115:Greece; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D024802:Nurse's Role; D010353:Patient Education as Topic / Q000379:methods; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D013527:Perioperative Nursing / Q000379:methods; D026684:Personal Autonomy; D012606:Scotland; D012944:Social Support; D013030:Spain; D013514:Surgical Procedures, Operative / Q000451:nursing / Q000523:psychology*; D011795:Surveys and Questionnaires