The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants.

IF 2 4区 医学 Q2 NURSING Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI:10.1177/01939459241285697
Yanhui Ma, Junxiang Gao, Chongyang Zhang
{"title":"The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants.","authors":"Yanhui Ma, Junxiang Gao, Chongyang Zhang","doi":"10.1177/01939459241285697","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This research was conducted to explore the mediating effect of perceived social support and health literacy on the relationship between decisional dilemmas and participation in shared decision-making among Chinese parents of premature infants.</p><p><strong>Design and methods: </strong>This cross-sectional study recruited 225 Chinese parents of premature infants in a neonatal ward of a Chinese hospital through convenience sampling. Data were collected from August 2022 to February 2023 using 5 self-administered instruments. Structural equation modeling and multiple mediation tests were applied to explore the interplay among perceived social support, health literacy, decisional dilemmas, and participation in shared decision-making. The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Results: </strong>Decisional dilemmas were found to negatively impact participation in shared decision-making. Perceived social support and health literacy were identified as partial mediators in this relationship, collectively accounting for a mediation effect of -0.413, which represents 50.0% of the total effect.</p><p><strong>Conclusion: </strong>The findings elucidate a multifaceted model of factors influencing participation in shared decision-making among Chinese parents of premature infants. Prompt recognition of these variables can enable nursing professionals to incorporate tailored management strategies within patient-centered care frameworks, thereby enhancing decisional outcomes.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Western Journal of Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/01939459241285697","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/9 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: This research was conducted to explore the mediating effect of perceived social support and health literacy on the relationship between decisional dilemmas and participation in shared decision-making among Chinese parents of premature infants.

Design and methods: This cross-sectional study recruited 225 Chinese parents of premature infants in a neonatal ward of a Chinese hospital through convenience sampling. Data were collected from August 2022 to February 2023 using 5 self-administered instruments. Structural equation modeling and multiple mediation tests were applied to explore the interplay among perceived social support, health literacy, decisional dilemmas, and participation in shared decision-making. The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.

Results: Decisional dilemmas were found to negatively impact participation in shared decision-making. Perceived social support and health literacy were identified as partial mediators in this relationship, collectively accounting for a mediation effect of -0.413, which represents 50.0% of the total effect.

Conclusion: The findings elucidate a multifaceted model of factors influencing participation in shared decision-making among Chinese parents of premature infants. Prompt recognition of these variables can enable nursing professionals to incorporate tailored management strategies within patient-centered care frameworks, thereby enhancing decisional outcomes.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
感知到的社会支持和健康素养对中国早产儿父母的决策困境与参与共同决策之间关系的中介效应》(The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants)。
目的:本研究旨在探讨感知到的社会支持和健康素养对中国早产儿父母决策困境与参与共同决策之间关系的中介效应:这项横断面研究通过便利抽样在一家中国医院的新生儿病房招募了225名中国早产儿父母。数据收集时间为 2022 年 8 月至 2023 年 2 月,使用了 5 种自制工具。采用结构方程模型和多重中介检验来探讨感知社会支持、健康素养、决策困境和参与共同决策之间的相互作用。本研究根据加强流行病学观察性研究报告(STROBE)指南进行报告:结果:研究发现,决策困境对参与共同决策有负面影响。感知到的社会支持和健康素养被认为是这一关系的部分中介因素,它们共同产生了-0.413的中介效应,占总效应的50.0%:研究结果阐明了影响中国早产儿父母参与共同决策的多方面因素模型。对这些变量的及时识别可使护理专业人员在以患者为中心的护理框架内采用有针对性的管理策略,从而提高决策结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
4.10
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
Acceptability of a Portable Exercise Bike in Older Adults With Cardiovascular Diseases. Experiences of Family Members With Visitation Prohibition for Critically Ill Patients. Reframing Burnout: Measuring "Altruistic Execution" to Understand Nurse Burnout. African American Family Caregivers' Experiences and Mental Health: A Convergent Mixed-Methods Study. An Integrative Approach for Endometriosis-Related Pain.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1