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Self-Determination in Surgical Patients in Five European Countries

Authors

  • Maritta Välimäki,

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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  • Helena Leino-Kilpi,

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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  • Matti Grönroos,

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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  • Theo Dassen,

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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  • Maria Gasull,

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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  • Chryssoula Lemonidou,

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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  • P. Anne Scott,

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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  • Sr. Marianne Benedicta

    1. Maritta Välimäki, RN, PhD, Docent, Senior Assistant Professor, Department of Nursing Science; Helena Leino-Kilpi, RN, PhD, Lambda Pi, Professor, Department of Nursing Science; Matti Grönroos, LicSc, Statistician; all at the University of Turku, Finland; Theo Dassen, RN, PhD, Professor, University of Humboldt, Germany; Maria Gasull, Midwife, Escola Universitaria D'infermeria, Hospital de la Santa Creu i Sant Pau, Spain; Chryssoula Lemonidou, RN, PhD, Assistant Professor, University of Athens, Department of Nursing Science, Greece; P. Anne Scott, RN, PhD, Honorary Research Fellow, University of Stirling, Scotland; Sr. Marianne Benedicta (Arndt), RN, PhD, Consultant This study was supported by the European Commission (BMH4-CT 98-3555). Correspondence to Dr. Välimäki, University of Turku, Department of Nursing Science, 20014 TURKU, Finland. E-mail: numava@uta.fi
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Abstract

Objective: To analyze the effects of informational support, desire for behavioral involvement in health decision-making (behavioral involvement), opportunities to make decisions, and independence on subjective health status in surgical patients. A theoretical model of self-determination was applied and tested.

Methods: The data were collected by structured questionnaires with a sample of 1,454 surgical patients in five European countries. LISREL analyses were used to test the theoretical causal model of self-determination.

Results: Patients' perceptions of informational support received from nursing professionals and their desired involvement in health decision-making affected patients' opportunities to make decisions and further their independence level, which in turn affected patients' subjective health status.

Conclusions: Understanding of factors that increase self-determination in patients can help health care professionals to promote patients' well-being.

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