Decision‐making tree for women considering hysterectomy

Wu, Shu-Mei; Yu, Yu-Mei Chao; Yang, Cheng‐Fang; Che, Hui-Lian

doi:10.1111/j.1365-2648.2005.03507.x

Cited by 13 publications

(7 citation statements)

References 10 publications

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“…For each decision tree, possible outcomes are assigned a numerical value and the probability of reaching an outcome is assessed. Wu et al. (2005) used a decision tree model to assess how women decide on whether to have a hysterectomy.…”

Section: The Information‐processing Modelmentioning

confidence: 99%

A review of clinical decision making: models and current research

Banning

2007

Journal of Clinical Nursing

246

225

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This version is available at:Access to and use of the material held within the Brunel University Research Archives, is based on your acceptance of the BURA End User Licence Agreement (EULA) Relevance to clinical practice: It is proposed that clinical decision-making improves as the nurse gains experience of nursing patients within a specific speciality and with experience, nurses gain a sense of saliency in relation to decision making.BanningExperienced nurses may use all three forms of clinical decision making both independently and concurrently to solve nursing-related problems. It is suggested that O.Neill's clinical decision making model could be tested by educators and experienced nurses to assess the efficacy of this hybrid approach to decision-making.

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Section: The Information‐processing Modelmentioning

confidence: 99%

A review of clinical decision making: models and current research

Banning

2007

Journal of Clinical Nursing

246

225

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“…, Wu et al . ). Patients desire information about topics such as treatment options, risks, prognosis and the progress and duration of treatment (Suhonen et al .…”

Section: Discussionmentioning

confidence: 97%

“…Moreover, our findings are consistent with a report that concluded that once a woman has decided that her health is her most important need, she becomes more able to discard the idea of the uterus as a totem of womanhood (Wu et al . ).…”

Section: Discussionmentioning

confidence: 97%

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Reasons for middle‐aged women in Taiwan to choose hysterectomy: a qualitative study using the bounded rationality perspective

Lee

Yeh

et al. 2014

Journal of Clinical Nursing

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Our findings might serve as educational and counselling reference materials for healthcare providers, ensuring that women receive appropriate care quality and have their needs met. Healthcare providers can then maximise women's empowerment, deepen their awareness of body image and their concept of self-care and help them to clearly perceive their own concerns and needs so that they can make suitable decisions.

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“…This surgical procedure is conducted mainly to improve the quality of life of women, and generally as a way to prevent cervical cancer. A number of studies have indeed confirmed that hysterectomies do relieve women of painful symptoms and contribute to an improved quality of life (Williams and Clarke, 2000;Wu et al, 2005). In her study of African American's experiences of hysterectomy, Augustus (2002:299) found that even though ''women expressed that the operation was done at great emotional cost'', they nevertheless acknowledged experiencing benefits that included ''relief from pain and personal embarrassment and enhanced sexuality''.…”

Section: Benefits Of a Hysterectomymentioning

confidence: 93%

Uterine health and women's participation in decisions to undergo hysterectomy in KwaZulu-Natal

Mthiyane¹

2012

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This Article focuses on uterine health care and women's participation in decisions to undergo hysterectomy. While hysterectomy is one of the most commonly performed surgical procedures, not much is known about how women make decisions to undergo such surgery. In South Africa there are health policies that aim to, among other things, increase the participation of patients in decision-making about their health. The Quality in Health Care for South Africa Policy (DoH, 2007) is one such policy, and aims to increase patients' participation and the dignity afforded to them. A sample of women who had undergone hysterectomy because of fibroids was interviewed to gain insight into their participation in deciding to undergo a hysterectomy, and on their experiences of this surgery. The women indicated that the hysterectomy relieved them of the physical pain they suffered before the surgery. However, they expressed frustration because of the lack of adequate information about the procedure as well as a lack of support before and after surgery. They indicated that although they were informed that this was a life-saving procedure, they were not informed about alternatives available to them besides the hysterectomy. They were also not informed about the surgery's possible damaging after effects. These findings indicate that there is a need for health practitioners to ensure that women are given adequate information about available options and possible side effects of the surgery. The findings also reveal that the health care system needs to provide counselling and support, particularly for African women, who may have unique socio-cultural needs. keywordsHysterectomy, decision making, information, reproductive health, choice

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Decision‐making tree for women considering hysterectomy

Abstract: Nurses working in gynaecological services should understand how women decide to undergo hysterectomy so that the proper counselling and follow-up can be provided. With further testing, our decision tree may help in this process.

Cited by 13 publications

References 10 publications

A review of clinical decision making: models and current research

A review of clinical decision making: models and current research

Reasons for middle‐aged women in Taiwan to choose hysterectomy: a qualitative study using the bounded rationality perspective

Uterine health and women's participation in decisions to undergo hysterectomy in KwaZulu-Natal

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