Utilizing conjoint analysis to explicate health care decision making by emergency department nurses: a feasibility study.
This descriptive study tests the feasibility of using clinical simulation to understand proxy decision making by emergency department nurses for individuals with intellectual disability (ID). Results from a conjoint analysis used to identify decision-making patterns indicated that nurses relied on future health status, functional status, and family input while making important health care decisions for their clients. This information enhances our understanding of the complex array of services and supports that nurses are expected to provide. As individuals with ID age and experience increased morbidity, the role of the nurse and caregivers as critical health care decision makers is increasing.
Fisher
Kathleen
K
College of Nursing and Health Professions, Drexel University, Philadelphia, PA 19102, USA. kathleen.mary.fisher@drexel.edu
Orkin
Fredrick
F
Frazer
Christine
C
D000328:Adult; D001291:Attitude of Health Personnel; D016000:Cluster Analysis; D003657:Decision Making; D003661:Decision Support Techniques; D016529:Emergency Nursing / Q000379:methods*; D005163:Factor Analysis, Statistical; D005240:Feasibility Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology; D008297:Male; D016743:Mental Competency; D008875:Middle Aged; D015999:Multivariate Analysis; D024802:Nurse's Role / Q000523:psychology; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010344:Patient Advocacy / Q000523:psychology*; D010508:Periodontal Abscess / Q000451:nursing / Q000523:psychology; D010865:Pilot Projects; D019727:Proxy / Q000523:psychology*; D012044:Regression Analysis