scholarly journals Pilot Study to Implement a Resident and Family Decision Guide

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 760-760
Author(s):  
David Wolf ◽  
Janet Sopcheck
Keyword(s):  
Pilot Study ◽  
Nursing Homes ◽  
Hospital Readmissions ◽  
Team Leadership ◽  
State Agency ◽  
Online Orientation ◽  
State Initiative ◽  
Family Decision ◽  
Family Decision Making ◽  
Implementation Data

Abstract In this first stage of an 8 state initiative designed to assist nursing homes in reducing unnecessary hospital readmissions, 16 nursing homes were identified and invited by CMS and state agency advisors to participate in the pilot study of the effects of intervention (use of the Guide). Selected facilities received an online orientation to the project and onsite visit from project team leadership prior to launch. Pre and post implementation data were uploaded to a secure section of the project website by the facilities. Three facilities withdrew due to change in top management and a fourth facility provided incomplete data resulting in data for analysis from 12 pilot facilities. Results show the average reduction in readmissions was 31.2% for the project period as compared with the 3-month pre-project period. This presentation will include facility reports of the effect of Guide use on resident and family decision making.

Family Decision Making for Research Participation: A Pilot Study

2006 ◽  
Author(s):  
Jessica K. Masty ◽  
Celia B. Fisher ◽  
Eduvigis Cruz-Arrieta ◽  
Jessica Reisman
Keyword(s):  
Decision Making ◽  
Pilot Study ◽  
Research Participation ◽  
Family Decision ◽  
Family Decision Making

Purchasing Insurance: Predictors of Family Decision-Making Responsibility

1984 ◽  
Vol 51 (3) ◽  
pp. 513 ◽  
Author(s):  
Steven J. Skinner ◽  
Alan J. Dubinsky
Keyword(s):  
Decision Making ◽  
Family Decision ◽  
Family Decision Making

Family Decision-Making: A Developmental Sex Role Model.

1983 ◽  
Vol 12 (2) ◽  
pp. 192
Author(s):  
Charles Lee Cole ◽  
John Scanzoni ◽  
Maximiliane Szinovacz
Keyword(s):  
Decision Making ◽  
Role Model ◽  
Sex Role ◽  
Family Decision ◽  
Family Decision Making

scholarly journals Development and validation of the Family Decision-Making Self-Efficacy Scale

2009 ◽  
Vol 7 (3) ◽  
pp. 315-321 ◽  
Author(s):  
Marie T. Nolan ◽  
Mark T. Hughes ◽  
Joan Kub ◽  
Peter B. Terry ◽  
Alan Astrow ◽  
...  
Keyword(s):  
Decision Making ◽  
Self Efficacy ◽  
Family Members ◽  
Terminally Ill ◽  
Loved One ◽  
The Family ◽  
Family Decision ◽  
Patient Scenario ◽  
Family Decision Making ◽  
Test Retest Reliability

AbstractObjective:Several studies have reported high levels of distress in family members who have made health care decisions for loved ones at the end of life. A method is needed to assess the readiness of family members to take on this important role. Therefore, the purpose of this study was to develop and validate a scale to measure family member confidence in making decisions with (conscious patient scenario) and for (unconscious patient scenario) a terminally ill loved one.Methods:On the basis of a survey of family members of patients with amyotrophic lateral sclerosis (ALS) enriched by in-depth interviews guided by Self-Efficacy Theory, we developed six themes within family decision making self-efficacy. We then created items reflecting these themes that were refined by a panel of end-of-life research experts. With 30 family members of patients in an outpatient ALS and a pancreatic cancer clinic, we tested the tool for internal consistency using Cronbach's alpha and for consistency from one administration to another using the test–retest reliability assessment in a subset of 10 family members. Items with item to total scale score correlations of less than .40 were eliminated.Results:A 26-item scale with two 13-item scenarios resulted, measuring family self-efficacy in decision making for a conscious or unconscious patient with a Cronbach's alphas of .91 and .95, respectively. Test–retest reliability was r = .96, p = .002 in the conscious senario and r = .92, p = .009 in the unconscious scenario.Significance of results:The Family Decision-Making Self-Efficacy Scale is valid, reliable, and easily completed in the clinic setting. It may be used in research and clinical care to assess the confidence of family members in their ability to make decisions with or for a terminally ill loved one.

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