A conceptual model of the role of communication in surrogate decision making for hospitalized adults

Alexia Torke, Sandra Petronio, Greg Sachs, Paul Helft, Christianna Purnell

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: To build a conceptual model of the role of communication in decision making, based on literature from medicine, communication studies and medical ethics. Methods: We proposed a model and described each construct in detail. We review what is known about interpersonal and patient-physician communication, described literature about surrogate-clinician communication, and discussed implications for our developing model. Results: The communication literature proposes two major elements of interpersonal communication: information processing and relationship building. These elements are composed of constructs such as information disclosure and emotional support that are likely to be relevant to decision making. We propose these elements of communication impact decision making, which in turn affects outcomes for both patients and surrogates. Decision making quality may also mediate the relationship between communication and outcomes. Conclusion: Although many elements of the model have been studied in relation to patient-clinician communication, there is limited data about surrogate decision making. There is evidence of high surrogate distress associated with decision making that may be alleviated by communication-focused interventions. More research is needed to test the relationships proposed in the model. Practice implications: Good communication with surrogates may improve both the quality of medical decisions and outcomes for the patient and surrogate.

Original languageEnglish
Pages (from-to)54-61
Number of pages8
JournalPatient Education and Counseling
Volume87
Issue number1
DOIs
StatePublished - Apr 2012

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Decision Making
Communication
Medical Ethics
Disclosure
Automatic Data Processing
Medicine
Physicians
Research

Keywords

  • Communication
  • Decision making
  • Proxy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A conceptual model of the role of communication in surrogate decision making for hospitalized adults. / Torke, Alexia; Petronio, Sandra; Sachs, Greg; Helft, Paul; Purnell, Christianna.

In: Patient Education and Counseling, Vol. 87, No. 1, 04.2012, p. 54-61.

Research output: Contribution to journalArticle

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