Cargando…

Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’

The decision-making process regarding termination of pregnancy following prenatal diagnosis of congenital heart disease is a stressful experience for future parents. Janis and Mann’s conflict decision-making model describes seven ideal stages that comprise vigilant information-gathering as an expres...

Descripción completa

Detalles Bibliográficos
Autores principales: Gendler, Yulia, Birk, Einat, Tabak, Nili, Koton, Silvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331975/
https://www.ncbi.nlm.nih.gov/pubmed/35897499
http://dx.doi.org/10.3390/ijerph19159137
_version_ 1784758534731202560
author Gendler, Yulia
Birk, Einat
Tabak, Nili
Koton, Silvia
author_facet Gendler, Yulia
Birk, Einat
Tabak, Nili
Koton, Silvia
author_sort Gendler, Yulia
collection PubMed
description The decision-making process regarding termination of pregnancy following prenatal diagnosis of congenital heart disease is a stressful experience for future parents. Janis and Mann’s conflict decision-making model describes seven ideal stages that comprise vigilant information-gathering as an expression of the qualitative decision-making process. In our study, we attempted to determine whether parents who face the decision regarding termination of pregnancy undertake a qualitative decision-making process. Data were collected over 2-year period using structural questionnaires. The sample consisted of two hundred forty participants; sixty-nine (28.75%) declared that their decision was to terminate the pregnancy. A significant difference in the quality of the decision-making score was noted between parents who decided to continue with the pregnancy vs. parents who opted for termination (mean score of 10.15 (5.6) vs. 18.51 (3.9), respectively, p < 0.001). Sixty-two (90%) participants within the termination of pregnancy group went through all seven stages of vigilant decision-making process and utilized additional sources for information and consultation. Parents who decided to continue with the pregnancy made swift decisions, often without considering the negative and positive outcomes; this decision-making pattern is considered non-vigilant and ineffective. Identification of future parents at risk of going through an ineffective decision-making process may help health professionals to determine the best way to provide them with information and support.
format Online
Article
Text
id pubmed-9331975
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-93319752022-07-29 Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’ Gendler, Yulia Birk, Einat Tabak, Nili Koton, Silvia Int J Environ Res Public Health Article The decision-making process regarding termination of pregnancy following prenatal diagnosis of congenital heart disease is a stressful experience for future parents. Janis and Mann’s conflict decision-making model describes seven ideal stages that comprise vigilant information-gathering as an expression of the qualitative decision-making process. In our study, we attempted to determine whether parents who face the decision regarding termination of pregnancy undertake a qualitative decision-making process. Data were collected over 2-year period using structural questionnaires. The sample consisted of two hundred forty participants; sixty-nine (28.75%) declared that their decision was to terminate the pregnancy. A significant difference in the quality of the decision-making score was noted between parents who decided to continue with the pregnancy vs. parents who opted for termination (mean score of 10.15 (5.6) vs. 18.51 (3.9), respectively, p < 0.001). Sixty-two (90%) participants within the termination of pregnancy group went through all seven stages of vigilant decision-making process and utilized additional sources for information and consultation. Parents who decided to continue with the pregnancy made swift decisions, often without considering the negative and positive outcomes; this decision-making pattern is considered non-vigilant and ineffective. Identification of future parents at risk of going through an ineffective decision-making process may help health professionals to determine the best way to provide them with information and support. MDPI 2022-07-26 /pmc/articles/PMC9331975/ /pubmed/35897499 http://dx.doi.org/10.3390/ijerph19159137 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gendler, Yulia
Birk, Einat
Tabak, Nili
Koton, Silvia
Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’
title Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’
title_full Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’
title_fullStr Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’
title_full_unstemmed Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’
title_short Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’
title_sort vigilance in the decision-making process regarding termination of pregnancy following prenatal diagnosis of congenital heart disease—application of the ‘conflict decision-making model’
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331975/
https://www.ncbi.nlm.nih.gov/pubmed/35897499
http://dx.doi.org/10.3390/ijerph19159137
work_keys_str_mv AT gendleryulia vigilanceinthedecisionmakingprocessregardingterminationofpregnancyfollowingprenataldiagnosisofcongenitalheartdiseaseapplicationoftheconflictdecisionmakingmodel
AT birkeinat vigilanceinthedecisionmakingprocessregardingterminationofpregnancyfollowingprenataldiagnosisofcongenitalheartdiseaseapplicationoftheconflictdecisionmakingmodel
AT tabaknili vigilanceinthedecisionmakingprocessregardingterminationofpregnancyfollowingprenataldiagnosisofcongenitalheartdiseaseapplicationoftheconflictdecisionmakingmodel
AT kotonsilvia vigilanceinthedecisionmakingprocessregardingterminationofpregnancyfollowingprenataldiagnosisofcongenitalheartdiseaseapplicationoftheconflictdecisionmakingmodel