University of Twente Student Theses


The influence of perceived SDM on stress in surrogates of intensive care patients

Beukeveld, B.M. (2022) The influence of perceived SDM on stress in surrogates of intensive care patients.

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Abstract:Background: Surrogates often need to make treatment decisions for a cognitively impaired patient in the Intensive Care Unit (ICU). Many hospitals use shared decision-making (SDM) to make decision-making more comfortable and less stressful. Nevertheless, many surrogates still experience stress despite the use of SDM. However, little is known about which factors cause surrogates’ stress during the SDM process. Possible factors could be conflict of role and provision of information. Aim: This study examined the relationship between perceived SDM and self-reported stress by ICU patients' surrogates and the relationship between provision of information and conflict of role with perceived SDM. Methods: A cross-sectional study was conducted involving a sample (N=4) of adult surrogates of ICU patients who were at least 48 hours exposed to the ICU department at a local hospital in the Netherlands. The variable stress was measured using the perceived stress scale. Provision of information, perceived SDM, and conflict of role were measured using questions from other existing or self-developed questionnaires. A Spearman’s rank correlation matrix was created to explore the association of perceived SDM with stress, provision of information with perceived SDM, and conflict of role with perceived SDM. Results: The Spearman’s rank correlation coefficient of perceived SDM and stress was -.32, of conflict of role and perceived SDM -.83, and of provision of information and perceived SDM .50. These findings suggest that perceived SDM is negatively correlated with stress, that conflict of role is negatively correlated with perceived SDM, and that provision of information is positively correlated with perceived SDM. Discussion: This study may indicate that increased perceived SDM due to higher information provision and lower conflict of role results in decreased stress. Therefore, it could be essential for clinicians to be aware of the preferred decision-making role of the surrogate in the SDM process at the beginning of admission of the patient to the ICU and to provide adequate, sufficient, and understandable information to the surrogate. In addition, decreased stress could lead to less “Post-Intensive Care Syndrome-Family” for surrogates of ICU patients. Further investigation into this topic, with more participants, is needed to state if the associations are significant and clarify the actual relationships and effects of the variables between themselves.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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