ERIC Number: EJ720160
Record Type: Journal
Publication Date: 2004
Reference Count: N/A
Who Wants to Be Involved? Decision-Making Preferences among Residents of Long-Term Care Facilities
Funk, Laura M.
Canadian Journal on Aging, v23 n1 p47-58 Spr 2004
While the benefits of participating in care or medical decision making are widely reported, research on decision-making participation preferences usually reveals some portion of individuals who do not want to be involved. Data collected through structured, in-person interviews with 100 residents of six long-term care (LTC) facilities in Victoria, British Columbia, were used to examine participation preferences with respect to four types of care decisions (bedtimes, medication choice, room transfer, and advance directives), as well as predictors of these preferences. Residents with higher levels of formal education, a greater number of chronic conditions, and greater confidence about the worth of their input tend to prefer more active involvement in decision making. This research also suggests that predictors of preference for independent control over decision making (active involvement) differ from predictors of preference for joint or shared decision making. Implications for the empowerment of LTC facility residents and the meaning of decision-making involvement in these environments are discussed.
Descriptors: Foreign Countries, Participative Decision Making, Patients, Attitude Measures, Predictor Variables, Health Services, Residential Care, Self Determination
University of Toronto Press, 5201 Dufferin Street, North York, Ontario M3H 5T8 Canada. Tel: 416-667-7838; Fax: 416-667-7881.
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Canada; Canada (Victoria)