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Related Experiment Videos

The surrogate's experience during treatment decision-making.

B R Jeffers1

  • 1Mennonite College of Nursing, Bloomington, IL, USA.

Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|February 26, 1999
PubMed
Summary

Surrogate decision-makers for older adults found the process evolving and difficult. Nurses can improve support by offering more opportunities for questions, information, and emotional expression.

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ANS. Advances in nursing science·2002
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Area of Science:

  • Gerontology
  • Healthcare Decision-Making
  • Nursing Practice

Background:

  • Older adults often require surrogate decision-makers for healthcare choices.
  • Understanding the surrogate's perspective is crucial for effective patient advocacy and care.
  • Existing research may not fully capture the nuances of surrogate decision-making experiences.

Purpose of the Study:

  • To explore the experiences, thoughts, and feelings of surrogates making decisions for older adults.
  • To identify specific nursing practices that surrogates perceive as supportive during the decision-making process.

Main Methods:

  • Qualitative descriptive study design.
  • Semi-structured interviews conducted with eleven surrogate decision-makers.
  • Data enriched a larger, ongoing research study.

Main Results:

  • Four emergent themes described surrogate experiences: Contextualizing the decision, Actualizing agency, Reviewing and resolving, and Transcending.
  • Surrogate decision-making was characterized as an evolving and challenging process.
  • Three distinct response patterns were identified: caregiving, protecting, and trusting.

Conclusions:

  • Nurses play a vital role in supporting surrogates.
  • Enhancing surrogate support involves providing more opportunities for questions, information gathering, emotional expression, comfort, and support.
  • Improved nursing practices can lead to better outcomes for both surrogates and older adult patients.

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