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Exploring the Patient Engagement in the Healthcare Decision-Making Process and Its Association With Patients'
Kholoud Alharbi1, Hessa Abdulrahman Almutairi2, Norah Saleh Albagami3
1Department of Nursing Administration and Education, College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Nursing Open
|April 2, 2026
Summary
Patient engagement in healthcare decisions was generally agreed upon, but did not significantly impact patient satisfaction. Other factors likely influence patient satisfaction more than shared decision-making alone.
Area of Science:
- Healthcare research
- Patient-centered care
- Health outcomes
Background:
- Shared decision-making (SDM) integrates patient values into care, promoting patient-centeredness.
- Understanding the link between patient engagement and satisfaction is crucial for improving healthcare experiences.
Purpose of the Study:
- To explore patient engagement in healthcare decision-making.
- To investigate the association between patient engagement and satisfaction with medical care.
Main Methods:
- Cross-sectional, descriptive correlational study design.
- Utilized the OPTION tool-Arabic version for decision-making levels and Patients' Satisfaction Questionnaire.
- Data analyzed using SPSS.
Main Results:
- Patients generally agreed with their engagement in decision-making (mean score 2.03).
- Patient satisfaction with medical care was neutral (mean score 2.90), indicating mixed experiences.
- No significant relationship found between patient engagement and satisfaction (R²=0.001, p>0.05). Demographic factors also did not significantly impact satisfaction.
Conclusions:
- While patient engagement in decision-making is affirmed, it does not significantly drive satisfaction.
- Other unmeasured factors likely play a more substantial role in patient satisfaction.
- Decision-making engagement alone appears insufficient to guarantee patient satisfaction.
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