Vieira SDS, Bevilacqua MC, Ferreira NMLA, Dupas G. Cochlear Implant: the complexity involved in the decision making process by the family.
Rev Lat Am Enfermagem 2016;
22:415-24. [PMID:
25029052 PMCID:
PMC4292629 DOI:
10.1590/0104-1169.3044.2432]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Accepted: 02/12/2014] [Indexed: 11/21/2022] Open
Abstract
Objective
to understand the meanings the family attributes to the phases of the
decision-making process on a cochlear implant for their child.
Method
qualitative research, using Symbolic Interactionism and Grounded Theory as
the theoretical and methodological frameworks, respectively. Data collection
instrument: semistructured interview. Nine families participated in the
study (32 participants).
Results
knowledge deficit, difficulties to contextualize benefits and risks and fear
are some factors that make this process difficult. Experiences deriving from
interactions with health professionals, other cochlear implant users and
their relatives strengthen decision making in favor of the implant.
Conclusion
deciding on whether or not to have the implant involves a complex process, in
which the family needs to weigh gains and losses, experience feelings of
accountability and guilt, besides overcoming the risk aversion. Hence, this
demands cautious preparation and knowledge from the professionals involved
in this intervention.
Collapse