Abstract

Advancement in technologies has contributed to patients surviving critical illness, but continuing to live with chronically critically ill conditions. A majority of such patients experience transient or persistent states of decisional impairment requiring family members or authorized surrogate decision makers to render treatment decisions. Abrupt transition to the surrogate decision maker role often evokes heightened stress. Research shows that emotion regulation can help manage situational stress.

To examine the associations among emotion regulation, role stress, and psychological distress in surrogate decision makers of chronically critically ill patients in intensive care units.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28078937; ProQuest document ID: 2439653744. The author still retains copyright.

Author Details

Mary Njalian Variath, PhD, RN, Nursing Educator

Sigma Membership

Alpha Theta

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Secondary Data Analysis

Keywords:

Chronically Ill Patients, Surrogate Decision Makers, Psychological Distress, Patient Decitional Impairment, Stress, Psychological/Emotional Support

Advisor

Ronald L. Hickman

Second Advisor

Jaclene A. Zauszniewski

Third Advisor

Mathew Plow

Fourth Advisor

Arin Connell

Degree

PhD

Degree Grantor

Case Western Reserve University

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-03-18

Full Text of Presentation

wf_yes

Dissertation

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