Family Decision-Making Path for the Referral of Terminal Patients in Tertiary Hospitals
10.3881/j.issn.1000-503X.15964
- VernacularTitle:三级医院终末期患者转诊的家庭决策路径
- Author:
Shan ZHANG
1
;
Xiaotian ZHANG
;
Peng YUE
;
Jing YANG
;
Zhuo YIN
Author Information
1. 首都医科大学护理学院, 北京 100069
- Keywords:
terminal patients;
referral decision-making;
family support;
family decision-making
- From:
Acta Academiae Medicinae Sinicae
2024;46(2):217-224
- CountryChina
- Language:Chinese
-
Abstract:
Objective To gain an in-depth understanding of the motivations,patterns,and related factors in family decision-making regarding the referral of terminal patients in tertiary hospitals.Methods Using purposive sampling,terminal patients and their family members from three tertiary hospitals in Beijing were se-lected as subjects.Semi-structured interviews were conducted,and the interview data were subjected to thematic analysis.Results Following the saturation principle,a total of 11 patients and 15 family members were includ-ed.The interview data were organized and analyzed,yielding six major themes:decision premises,decision pat-terns,family support,support from the referring hospital's medical team,referral channel conditions,and in-volvement of volunteer teams and social support.Based on these findings,a flowchart illustrating the family deci-sion-making process for the referral of terminal patients was constructed.Conclusions The study provides a com-prehensive analysis of various factors influencing family decision-making in the referral of terminal patients in ter-tiary hospitals.The results underscore the significance of internal and external factors,emphasizing the integrated impact of decision patterns,family support,medical team support,referral channel conditions,and the in-volvement of volunteer teams and social support.The research offers profound insights into improving the referral process for terminal patients and enhancing the quality of family decision-making.It provides valuable recommen-dations for future improvements in medical services and decision support.
