Surrogates’ Decision Making Process Regarding Treatments for Critically IllElderly Muslim Patients at the End Stage of Life

Main Article Content

Latifah Jehloh Kittikorn Nilmanat Waraporn Kongsuwan

Abstract

This descriptive research aimed to study up to the steps of the decision-making process. Sample group was surrogate decision makers. A conveniencesampling was used to select 120 patient’s surrogates have been treated in the internal medicine intensive care unit and medical ward of 5 southern province hospitals. Information collected using two questionnaires: demographic data, and three decision making process’s practice.Alpha’s Cronbach of instrument ‘s validity was0.87. Analysis of the data used descriptive statistics. This descriptive research aimed to study up to the steps of the decision-making process. Sample group was surrogate decision makers. A conveniencesampling was used to select 120 patient’s surrogates have been treated in the internal medicine intensive care unit and medical ward of 5 southern province hospitals. Information collected using two questionnaires: demographic data, and three decision making process’s practice.Alpha’s Cronbach of instrument ‘s validity was0.87. Analysis of the data used descriptive statistics.  Results revealedthe steps of the decision making process regarding treatments for critically classified as list: 1) practical steps to acknowledge the data found that : the decision makers chose to know in the most about patients symptoms (M = 3.28, S.D. = 1.06) and possibility of the disease healing (M = 3.14, S.D. = 1.05) 2) compliance in process analysis: the decision makers analyzed the most about religion(M = 3.98, S.D. = 0.03),and patients preference (M = 3.94, S.D. = 0.06) and 3) practice in the process of the formulation and analysis of alternatives: the decision makers analyzed the most about discussionalternative treatments with family(M = 3.75, S.D. = 0.48),and the family relationship after making decision(M = 3.46, S.D. = 0.71) Surrogate decision makers practiced all the decision ‘s making process. Findings from this study will be useful to develop guideline to provide health information to support decision making and to develop care plan that is consistent with cultural belief and background of patients and family.

Keywords

Article Details

Section
บทความวิจัย

References

Abu-El-Noor, N. I., & Abu-El-Noor, M. K. (2014). End of Life-Decisions: An Islamic Perspective. Online Journal of Health Ethics, 10(1).
Anuruang, S. (2017). Multimorbidity in older persons: situation, challenge issues, and care management. Journal of Nursing Science Chulalongkorn University, 29(2), 1-14.
Attum, B., & Shamoon, Z. (2019). Cultural Competence in the Care of Muslim Patients and Their Families. In: StatPearls . Treasure Island (FL): StatPearls Publishing-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499933/
Dhami, S., & Sheikh, A. (2000). The Muslim family predicament and promise. Western Journal of Medicine. 173(5), 352-356.
Docherty, A., Owens, A., Asadi-Lari, M., Petchey, R., Williams, J., & Carter, Y. (2008). Knowledge and information needs of informal caregivers in palliative care: a qualitative systematic review. Palliative Medicines, 22(2), 153-171. doi: 10.1177/0269216307085343.
Elshamy, K. (2017). Cultural and ethical challenges in providing palliative care for cancer patients at the end-of-life. Palliative Medicine and Hospice Care, 1, 75-84. doi: 10.17140/PMHCOJ-SE-1-116.
Kanchanachari, O., Sirapo-ngam, Y., & Monkong, S. (2017). Roles and needs of caregivers for patients with end of life in a specifc setting for palliative care. Ramathibodi Nursing Journal, 23(3), 328-343
Kaspers, P.J., Onwuteaka-Philipsen,B. D., Deeg, D.J.H., & and Pasman , H. R.W. (2013). Decision-making capacity and communication about care of older people during their last three months of life, BMC Palliative Care, 12(1). DOI: 10.1186/1472-684X-12-1.
Kirk, R. (1995) Experimental design procedures for the behavioural sciences (3rd ed.), Pacific Grove, CA: Brooks/Cole.
Klinmalee, P. (2015). Surrogates' Decision Making and Its' Outcomes Regarding Treatments for Buddhist Critically Ill Patients at the End Stage of Life. Prince of Songkla University, Songkhla (in Thai)
Klinmalee, P., Kongsuwan, W., & Manasurakarn, J. (2015). Surrogates' Decision Making and Its' Outcomes Regarding Treatments for Buddhist Critically Ill Patients at the End Stage of Life. The 8th Walailak Reasearch National Conference. Nakhonsithammarat. (in Thai)
Leclaire, M.M., Oakes, J.M., & Weinert, C.R. (2005). Communication of prognostic information for critically ill patients. Chest Journal, 128(3), 1728-1735.
Manasurakarn, J., Chaowalit, A., Suttharangsee, W., Isaramalai, S., & Geden, E. (2008). Values underlying end-of-life decisions of Thai Buddhist patients and their families. Songklanagarind Medical Journal, 26(6), 549-559.
Mobasher, M., Aramesh, K., Zahedi, F., Nakhaee, N., Tahmasebi, M., & Larijani, B. (2014). End-of-life care ethical decision-making: Shiite scholars’ views. The Journal of Medical Ethics and History of Medicine, 7 (2).
Nijinikaree, N., Chaowalit, A., & Hatthakit, U. (2008). The perspectives of end-of-life decisions in chronically ill Thai Muslim patients in the five border provinces of southern Thailand. Songklanagarind Medical Journal, 26(5), 431-439.
Raetong, P. (2016). Experience of Surrogate Decision Makers in Withdrawing Life-Sustaining Treatment: Types of Help Needed from Physicians and Nurses. Thai Journal of Nursing Council, 31(4), 122-133.
Rodrigues, R., Huber, M.,& Lamura, G. (2012) Fact and Figures on Healthy Ageing and Long-Term Care. Vienna: European Centre for Social Welfare Policy and Research.
Schultz, M., Baddarni, K., & Bar-Sela, G. (2012). Refections on palliative care from the Jewish and Islamic tradition. Evidence-Based Complementary and Alternative Medicine, 2012. doi:10.1155/2012/693092
Srisatidnarakul, B. (2007). The meyhodology in Nursing Research. (4th ed). Bangkok: You &I Intermedia Printing. (in Thai).
Thelen, M. (2005). End-of life decision making in intensive care. Critical Care Nurse, 25(6), 28-37.
Wallace, C. L. (2015). Family communication and decision making at the end of life: A literature review. Palliative and Supportive Care, 13, 815–825.
Varisco, D. M. (2011). The end of life, the ends of life. The Journal of the Islamic Medical Association, 43, 203–207.