Perspectives of decision-making in requests for euthanasia: A qualitative research among patients, relatives and treating physicians in the Netherlands

2012 ◽  
Vol 27 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Marianne K Dees ◽  
Myrra J Vernooij-Dassen ◽  
Wim J Dekkers ◽  
Glyn Elwyn ◽  
Kris C Vissers ◽  
...  
Keyword(s):  
Decision Making ◽  
The Netherlands ◽  
Relationship Building ◽  
Future Research ◽  
Decision Making Process ◽  
Building Relationships ◽  
Proactive Approach ◽  
Qualitative Thematic Analysis ◽  
Complex Process ◽  
Complex Decision Making

Background: Euthanasia has been legally performed in the Netherlands since 2002. Respect for patient’s autonomy is the underpinning ethical principal. However, patients have no right to euthanasia, and physicians have no obligation to provide it. Although over 3000 cases are conducted per year in the Netherlands, there is little known about how decision-making occurs and no guidance to support this difficult aspect of clinical practice. Aim: To explore the decision-making process in cases where patients request euthanasia and understand the different themes relevant to optimise this decision-making process. Design: A qualitative thematic analysis of interviews with patients making explicit requests for euthanasia, most-involved relative(s) and treating physician. Participants/setting: Thirty-two cases, 31 relatives and 28 treating physicians. Settings were patients’ and relatives’ homes and physicians’ offices. Results: Five main themes emerged: (1) initiation of sharing views and values about euthanasia, (2) building relationships as part of the negotiation, (3) fulfilling legal requirements, (4) detailed work of preparing and performing euthanasia and (5) aftercare and closing. Conclusions: A patient’s request for euthanasia entails a complex process that demands emotional work by all participants. It is characterised by an intensive period of sharing information, relationship building and negotiation in order to reach agreement. We hypothesise that making decisions about euthanasia demands a proactive approach towards participants’ preferences and values regarding end of life, towards the needs of relatives, towards the burden placed on physicians and a careful attention to shared decision-making. Future research should address the communicational skills professionals require for such complex decision-making.

Factors Affecting Customer Switching Behavior towards Hybrid Electrical Vehicles (HEV’s) from a Customer Perspective in Jordan

2018 ◽  
Vol 1 (3) ◽  
pp. 53
Author(s):  
Bushra Mahadin
Keyword(s):  
Decision Making ◽  
Consumer Behaviour ◽  
New Technologies ◽  
International Marketing ◽  
Current Trend ◽  
Switching Behavior ◽  
Future Research ◽  
Decision Making Process ◽  
Customer Switching ◽  
Electrical Vehicles

Purpose-This paper aims to investigate factors that affect customer switching from Internal Combustion Engine Vehicles (ICEV’s) to Hybrid Electrical Vehicles (HEV’s), in Jordan for the period of (2010-2014).Design/methodology/approach-A self-administered survey was hand-delivered to the targeted sample of car users in Jordan. The authors delivered 400 questionnaires to customers, from which 333 were deemed valid for the analysis, corresponding to the percentage of (83.25%) which indicates the validity of the study. Findings- There was no difference in switching behavior between (ICEV’s) and (HEV’s) based on gender in the Jordanian market. Fuel consumption efficiency was the number one variable that supports the switching behavior towards (HEV's), followed by Eco friendliness, lower taxes and technological features. Price and the current trend in the market were the least supporting factors. In addition to that the perception of the battery life of (HEV's), limited choices in the market, lack of information and fear of the relatively new technology were the major hindering factors of choosing an (HEV).Research limitations-Future research needs to investigate other factors that may affect customers’ behavior such as perceived image, trust, and subjective norms. Future research should investigate into the importance of environmental awareness and new technologies, and gender differences in behavior. From an international marketing standpoint, comparative studies between Jordanian and non-Jordanian customers are potential areas of future research for international marketing strategies and cross-cultural consumer behaviour analysis. Practical implications-The paper identifies the determinants of switching behavior. marketers should focus addressing customers concerns in terms of providing enough information and building awareness towards the technology and it's benefits towards the society and the environment.Originality/value-Our study is one of the few in Jordan that investigates the switching behavior towards vehicles technology. Our study is thought to have made a modest contribution to consumer behaviour literature and, specifically, for decision making process. It offers marketers insights into the determinants of switching behavior towards the hybrid vechicle technology and how this contribute to consumers’ decision making process and attitudes to achieve the intended behavioural outcomes

scholarly journals A survey of methods for evaluating mini-publics

2021 ◽  
Author(s):  
Takeuchi Ayano
Keyword(s):  
Decision Making ◽  
Academic Research ◽  
Future Research ◽  
The Political ◽  
Decision Making Process ◽  
Sufficient Information ◽  
Practical Case ◽  
Political Decision ◽  
Wide Range ◽  
Political Decision Making

AbstractPublic participation has become increasingly necessary to connect a wide range of knowledge and various values to agenda setting, decision-making and policymaking. In this context, deliberative democratic concepts, especially “mini-publics,” are gaining attention. Generally, mini-publics are conducted with randomly selected lay citizens who provide sufficient information to deliberate on issues and form final recommendations. Evaluations are conducted by practitioner researchers and independent researchers, but the results are not standardized. In this study, a systematic review of existing research regarding practices and outcomes of mini-publics was conducted. To analyze 29 papers, the evaluation methodologies were divided into 4 categories of a matrix between the evaluator and evaluated data. The evaluated cases mainly focused on the following two points: (1) how to maintain deliberation quality, and (2) the feasibility of mini-publics. To create a new path to the political decision-making process through mini-publics, it must be demonstrated that mini-publics can contribute to the decision-making process and good-quality deliberations are of concern to policy-makers and experts. Mini-publics are feasible if they can contribute to the political decision-making process and practitioners can evaluate and understand the advantages of mini-publics for each case. For future research, it is important to combine practical case studies and academic research, because few studies have been evaluated by independent researchers.

scholarly journals Decision Making from the Experience of Orthognathic Surgery Patients: A Grounded Theory Approach

2021 ◽  
pp. 238008442110144
Author(s):  
N.R. Paul ◽  
S.R. Baker ◽  
B.J. Gibson
Keyword(s):  
Decision Making ◽  
Grounded Theory ◽  
Treatment Options ◽  
Study Data ◽  
Primary Objective ◽  
Major Surgery ◽  
Future Research ◽  
Decision Making Process ◽  
Theory Approach

Introduction: Patients’ decisions to undergo major surgery such as orthognathic treatment are not just about how the decision is made but what influences the decision. Objectives: The primary objective of the study was to identify the key processes involved in patients’ experience of decision making for orthognathic treatment. Methods: This study reports some of the findings of a larger grounded theory study. Data were collected through face-to-face interviews of patients who were seen for orthognathic treatment at a teaching hospital in the United Kingdom. Twenty-two participants were recruited (age range 18–66 y), of whom 12 (male = 2, female = 10) were 6 to 8 wk postsurgery, 6 (male = 2, female = 4) were in the decision-making stage, and 4 (male = 0, female = 4) were 1 to 2 y postsurgery. Additional data were also collected from online blogs and forums on jaw surgery. The data analysis stages of grounded theory methodology were undertaken, including open and selective coding. Results: The study identified the central role of dental care professionals (DCPs) in several underlying processes associated with decision making, including legitimating, mediating, scheduling, projecting, and supporting patients’ decisions. Six categories were related to key aspects of decision making. These were awareness about their underlying dentofacial problems and treatment options available, the information available about the treatment, the temporality of when surgery would be undertaken, the motivations and expectation of patients, social support, and fear of the surgery, hospitalization, and potentially disliking their new face. Conclusion: The decision-making process for orthognathic treatment is complex, multifactorial, and heavily influenced by the role of DCPs in patient care. Understanding the magnitude of this role will enable DCPs to more clearly participate in improving patients’ decision-making process. The findings of this study can inform future quantitative studies. Knowledge Transfer Statement: The results of this study can be used both for informing clinical practice around enabling decision making for orthognathic treatment and also for designing future research. The findings can better inform clinicians about the importance of their role in the patients’ decision-making process for orthognathic treatment and the means to improve the patient experience. It is suggested that further research could be conducted to measure some of the key constructs identified within our grounded theory and assess how these change during the treatment process.

Central Language Hypothesis in the Decision-Making Process

2016 ◽  
pp. 66-83 ◽  
Author(s):  
Duygu Buğa
Keyword(s):  
Decision Making ◽  
Theoretical Framework ◽  
Future Research ◽  
Limbic Cortex ◽  
Decision Making Process ◽  
Discussion Section ◽  
Research Directions ◽  
Additional Information ◽  
Future Research Directions ◽  
The Brain

The purpose of this chapter is to explore the potential connection between neuroeconomics and the Central Language Hypothesis (CLH) which refers to the language placed within the subconscious mind of an individual. The CLH forwards that in the brains of bilingual and multilingual people, one language is more suppressive as it dominates reflexes, emotions, and senses. This central language (CL) is located at the centre of the limbic cortex of the brain. Therefore, when there is a stimulus on the limbic cortex (e.g., fear, anxiety, sadness), the brain produces the central language. The chapter begins with an Introduction followed by a Theoretical Framework. The next section discusses the neurolinguistic projection of the central language and includes the survey and the results used in this study. The Discussion section provides additional information regarding the questionnaire and the CLH, followed by Future Research Directions, Implications, and finally the Conclusion.

Facilitating Lifestyle Choice and Change

2014 ◽  
pp. 137-147
Author(s):  
Judith Aufenthie
Keyword(s):  
Decision Making ◽  
Well Being ◽  
Decision Making Process ◽  
Evidence Based ◽  
Lifestyle Choice ◽  
Complex Process

Creating optimal well being is a multifaceted, complex process. It involves many biological, psychological, physical, behavioral, emotional as well as neurobiological factors which all interact and effect the choices we make and changes that we are able to implement. Research has begun to connect with the decision making process to better understand how our decisions and choices are made. This research coupled with research and evidence based models provides integrative nurses and patients with validated tools to optimize change and wellness.

A case-based reasoning system for fault detection and isolation: a case study on complex gearboxes

2019 ◽  
Vol 25 (2) ◽  
pp. 213-235 ◽  
Author(s):  
Soumava Boral ◽  
Sanjay Kumar Chaturvedi ◽  
V.N.A. Naikan
Keyword(s):  
Decision Making ◽  
Fault Detection ◽  
Large Scale ◽  
Fault Detection And Isolation ◽  
Decision Making Process ◽  
Case Based Reasoning ◽  
Content Type ◽  
Complex Decision Making ◽  
Complex Decision ◽  
Case Based

Purpose Usually, the machinery in process plants is exposed to harsh and uncontrolled environmental conditions. Even after taking different types of preventive measures to detect and isolate the faults at the earliest possible opportunity becomes a complex decision-making process that often requires experts’ opinions and judicious decisions. The purpose of this paper is to propose a framework to detect, isolate and to suggest appropriate maintenance tasks for large-scale complex machinery (i.e. gearboxes of steel processing plant) in a simplified and structured manner by utilizing the prior fault histories available with the organization in conjunction with case-based reasoning (CBR) approach. It is also demonstrated that the proposed framework can easily be implemented by using today’s graphical user interface enabled tools such as Microsoft Visual Basic and similar. Design/methodology/approach CBR, an amalgamated domain of artificial intelligence and human cognitive process, has been applied to carry out the task of fault detection and isolation (FDI). Findings The equipment failure history and actions taken along with the pertinent health indicators are sufficient to detect and isolate the existing fault(s) and to suggest proper maintenance actions to minimize associated losses. The complex decision-making process of maintaining such equipment can exploit the principle of CBR and overcome the limitations of the techniques such as artificial neural networks and expert systems. The proposed CBR-based framework is able to provide inference with minimum or even with some missing information to take appropriate actions. This proposed framework would alleviate from the frequent requirement of expert’s interventions and in-depth knowledge of various analysis techniques expected to be known to process engineers. Originality/value The CBR approach has demonstrated its usefulness in many areas of practical applications. The authors perceive its application potentiality to FDI with suggested maintenance actions to alleviate an end-user from the frequent requirement of an expert for diagnosis or inference. The proposed framework can serve as a useful tool/aid to the process engineers to detect and isolate the fault of large-scale complex machinery with suggested actions in a simplified way.

scholarly journals Importance of Ethical Aspects for Decision-Making

2020 ◽  
Vol 10 (3) ◽  
pp. 35
Author(s):  
Zdenek Dytrt ◽  
Radomir Serek
Keyword(s):  
Decision Making ◽  
Sustainable Growth ◽  
Educational Institutions ◽  
Decision Making Process ◽  
Ethical Aspects ◽  
Quantitative Management ◽  
Complex Decision Making ◽  
Effective Decision ◽  
Complex Decision ◽  
Effective Decision Making

The management theory did not develop equally with the changes in technologies. The consequence of this shortcoming is a prevalence of quantitative management which puts an emphasis on the quantitative values. This represents a risk for the sustainable growth. Therefore, the managerial ethics, which biases qualitative values and attitudes, is important for the managers' decision-making. The effective decision-making process is further based not only on the manager's experience, which may lead to a certain routine, but also on the cooperation among the other departments and educational institutions. Furthermore, the successful innovations, which are often an outcome of the systemic and complex decision-making, require to follow certain rules during their implementation. A person may become an initiator, leader, subject or a consumer of the innovation and should be adequately prepared for all these roles. Despite the abrupt development in the technical areas there is not such progress in the humanities. Education is still more focused on the content and form (thus quantity) rather than on the applications and relations (quality).

Adoption: Lesbian and Gay Adoptive Parents

2014 ◽  
Author(s):  
Abbie E. Goldberg ◽  
April Moyer
Keyword(s):  
Decision Making ◽  
Adoptive Parents ◽  
Adoptive Parent ◽  
Future Research ◽  
Decision Making Process ◽  
Parent Child Relationship ◽  
Gay Parents ◽  
Lesbian And Gay ◽  
Child Relationship ◽  
Adoptive Parenthood

Adoption by lesbian and gay parents is becomingly increasingly common. This entry presents an overview of the limited research that has focused on lesbian and gay adoptive parents. Specifically, this entry addresses the experience of adoptive parenthood for lesbian and gay parents, with emphasis on the decision-making process (that is, choosing adoption, choosing an agency, choosing an adoption type, and specifying child characteristics), the transition to adoptive parenthood, the psychological adjustment of the adoptive parents and their children, and the adoptive parent–child relationship. We end with recommendations for future research and implications for practitioners and policymakers.

Cabinet Decision-making in Parliamentary Systems

2020 ◽  
pp. 437-459
Author(s):  
Michelangelo Vercesi
Keyword(s):  
Decision Making ◽  
Power Distribution ◽  
Future Research ◽  
Decision Making Process ◽  
Prime Ministers ◽  
Main Research ◽  
Collective Decisions ◽  
Parliamentary Systems ◽  
Research Questions

This chapter deals with the internal decision-making process of political executives in parliamentary systems, that is, how executives take their own collective decisions. The focus is on the cabinet system as a whole, including both cabinet members and other involved party-political and bureaucratic actors. In particular, the chapter reviews literature’s debates about the nature of cabinet government, the role of prime ministers, and variations of decision-making. A special attention is payed to factors explaining intra-cabinet power distribution and the choice of different decision-making arenas. After introducing the topic, an overview of conceptual issues and main research questions is provided. Subsequently, the work discusses the way in which scholars have addressed these issues and the findings they have reached. The final part stresses existing deficits and seeks to set the agenda for future research.

Sign in / Sign up

Export Citation Format

Share Document