scholarly journals Effect of the decision-making process in the family on HPV vaccination rates among adolescents 9–17 years of age

2014 ◽  
Vol 10 (7) ◽  
pp. 1807-1811 ◽  
Author(s):  
Abbey B Berenson ◽  
Tabassum H Laz ◽  
Jacqueline M Hirth ◽  
Christine J McGrath ◽  
Mahbubur Rahman
Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 693
Author(s):  
Robyn A. Pennella ◽  
Katherine A. Ayers ◽  
Heather M. Brandt

Despite educational efforts, Tennessee human papillomavirus (HPV) vaccination rates are 43%, among the lowest in the United States. This study examined how adolescents think about the HPV vaccine to identify patterns and misconceptions to enhance educational efforts. Adolescents (ages 11–12) (N = 168) responded to open-ended questions regarding their thinking about the HPV vaccine. Data were analyzed and interpreted using qualitative thematic analysis. Three domains of themes emerged from responses: (1) characteristics of HPV vaccination, (2) knowledge-related themes, and (3) beliefs-related themes. Prevention of HPV and cancer was the most referenced characteristic of HPV vaccination followed by HPV vaccine rates and HPV vaccine efficacy. Student inquiries were mostly centered on HPV vaccine composition, administration, duration and how the vaccine interacts with the body. Some responses indicated a desire for more information about HPV not specific to the HPV vaccine. Overall, adolescent attitudes were positive towards the HPV vaccine. This study highlights specific questions adolescents have about the vaccine that can be used to tailor future HPV educational efforts, empowering adolescents with the knowledge to be more active students in the decision-making process. In addition, the potential for adolescents to serve as community advocates for the vaccine should be considered for future interventions.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (6) ◽  
pp. 1010-1015
Author(s):  

Pediatricians may be called upon to counsel a family in which prenatal diagnosis is being considered or in which there is a fetus with a genetic disorder. In some settings, the pediatrician may be the primary resource for counseling the family. More frequently, counseling may already have been provided by a clinical geneticist and/or obstetrician. However, because of a previous relationship with the family, the pediatrician may be called upon to review this information and to assist the family in the decision-making process. The pediatrician should be familiar with the principles of prenatal genetic diagnosis and know how to apply them to specific problems in genetic counseling, diagnosis, and management in clinical practice. At the same time, pediatricians should be familiar with resources available in their region for obtaining information about whether and how a specific disorder can be diagnosed and when and where to refer patients for prenatal genetic diagnosis. The technology of prenatal diagnosis is changing rapidly, and genetic consultants can assist pediatricians in the appropriate utilization and interpretation of the diagnostic tests that are available.


2020 ◽  
pp. 096973302094575
Author(s):  
Ni Gong ◽  
Qianqian Du ◽  
Hongyu Lou ◽  
Yiheng Zhang ◽  
Hengying Fang ◽  
...  

Background: Independent decision-making is one of the basic rights of patients. However, in clinical practice, most older cancer patients’ treatment decisions are made by family members. Objective: This study attempted to analyze the treatment decision-making process and formation mechanism for older cancer patients within the special cultural context of Chinese medical practice. Method: A qualitative study was conducted. With the sample saturation principle, data collected by in-depth interviews with 17 family members and 12 patients were subjected to thematic analysis. Ethical considerations: The study was approved by the ethics committees of Sun Yat-sen University. All participants provided verbal informed consent after being told their rights of confidentiality, anonymity, and voluntary participation. They had the right to refuse to answer questions and could withdraw at any time. Results: Three themes emerged: (1) complex process; (2) transformation of family decision-making power; and (3) individual compromise. Family members inevitably had different opinions during the long process of treatment decision-making for older cancer patients. The direction of this process could be regarded as an extension of the family power relationship. The patient usually compromised the decision to survive, which was made by family members. Conclusion: This study describes the treatment decision-making process of older cancer patients in the context of Chinese culture. The reasons underlying this process are related to the views on life and death and family values. An individual is a part of the family, which is often seen as the minimal interpersonal unit in Chinese society. It is significant that while emphasizing patient autonomy in the decision-making process, health professionals should also pay attention to the important roles of culture and family.


2020 ◽  
Vol 16 (7) ◽  
pp. 1653-1658 ◽  
Author(s):  
Tomomi Egawa-Takata ◽  
Ruriko Nakae ◽  
Mariko Shindo ◽  
Ai Miyoshi ◽  
Tsuyoshi Takiuchi ◽  
...  

2012 ◽  
Vol 20 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Ranveig Lind ◽  
Per Nortvedt ◽  
Geir Lorem ◽  
Olav Hevrøy

In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the patient, thereby safeguarding his values and interests. However, their inclusion in decision making varied from active participation in the decision-making process to acceptance of the physicians’ decision or just receiving information. We conclude that models of informed shared decision making should be utilised and optimised in intensive care, where nurses and physicians work with both the patient and his or her family and regard the family as partners in the process.


2020 ◽  
Vol 18 (3) ◽  
pp. 211-217
Author(s):  
I. Kancheva

Purpose: Children play a significant role as active participants in different markets through their own spending power. They are also able to exert considerable influence – explicit or implicit - over other family members’ consumer behavior. The combination of various spatial, structural, financial and practical aspects place the purchase of a real estate among the most complex for the family. The objective of the present paper is to reveal the degree and form of children’s influence throughout family real estate purchase decision-making process. Methods: This paper represents the results of an empirical study focused on parental perceptions of children’s influence in a family real estate purchase. Data were gathered using a convenience sample of 286 respondents – 156 men and 130 women from different Bulgarian families. Frequency distributions, analysis of variance, paired samples and independent samples t-test were applied for the aims of the analysis. Results: Children are found to exert moderate indirect influence throughout the family real estate purchase. They are most influential in the final phase of the real estate purchase decision-making process. Although high influence scores are detected in some attributive decisions, children are found least influential over choices related to technical and financial aspects of the purchase.


1970 ◽  
pp. 9-10
Author(s):  
Hassan Hammoud

In collaboration with the United Nations Development Program, the Lebanese Ministry of Social Affairs has completed a survey ' that provides for the first time in 65 years a comprehensive profile of the population in post-war Lebanon. One of its several objectives was to identify the demographic, educational, social, and occupational characteristics of Lebanese society. If properly considered, such information could play a major role in the decision-making process over several public policies in the country. The data of the survey are presented in 187 statistical tables . I will analyse selected tables related to the status and characteristics of women and the family.


EDIS ◽  
2006 ◽  
Vol 2006 (9) ◽  
Author(s):  
Elizabeth B. Bolton ◽  
John R. Rutledge ◽  
Linda Bowman ◽  
Linda Barber

The objectives of this lesson are to learn the importance of decision making in everyday life, to learn a process for making decisions, and to use the decision making process. This document is FCS9093, one of a series of the Family Youth and Community Sciences Department, UF/IFAS Extension. EDIS publication date May 2006. 


2018 ◽  
Vol 25 (12) ◽  
pp. 1894-1904 ◽  
Author(s):  
Giulia Lamiani ◽  
Matteo Ciconali ◽  
Piergiorgio Argentero ◽  
Elena Vegni

This study explored the relationship between clinicians’ moral distress and family satisfaction with care in five intensive care units in Italy. A total of 122 clinicians (45 physicians and 77 nurses) and 59 family members completed the Italian Moral Distress Scale-Revised and the Family Satisfaction in the ICU questionnaire, respectively. Clinicians’ moral distress inversely correlated with family satisfaction related to the inclusion in the decision-making process. Specifically, physicians’ moral distress inversely correlated with satisfaction regarding the respect shown toward the patient. Nurses’ moral distress inversely correlated with satisfaction regarding breathlessness and agitation management, provision of emotional support, understanding of information, and inclusion in the decision-making process.


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