The effect of illness uncertainty and self-efficacy on the perception of shared decision-making among parents of infants in the neonatal intensive care unit.
Dahae Choi, Hyewon Shin
PMID 39322236WHAT IT FOUND
Parents who visited the NICU every day reported lower perception of shared decision-making than parents who did not visit every day.
Higher parenting confidence was linked to higher perception. This is an association, not proof that visits or confidence cause it.
Key findings
01NICU visit frequency and parental self-efficacy were significantly associated with parents' perception of shared decision-making.
02Parents who visited the NICU every day had a significantly lower perception of shared decision-making than parents with no visits or more than one visit.
03Illness uncertainty was negatively correlated with self-efficacy, but it was not significantly correlated with perception of shared decision-making.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a cross-sectional survey, so it can show associations at one time but not whether visits, uncertainty or self-efficacy caused perception of shared decision-making. Parents were recruited by convenience sampling and volunteered, so they may have been more involved in their infant's care than parents who did not take part. Some parents were recruited online, where they may have exchanged information with other parents, which could affect their answers. The parenting self-efficacy scale had reliability of .65 in this study, below .7. The shared decision-making scale did not distinguish whether parents were rating doctors or nurses. The study did not measure outcomes of shared decision-making, such as parental satisfaction or length of stay.
Declared interests
The supplied text does not report funding or conflict-of-interest declarations.
The easy way to misread this
Do not conclude that reducing NICU visits or increasing self-efficacy will improve shared decision-making. This was a cross-sectional survey of parents' perceptions, not a trial of an intervention.