READINESS FOR ENHANCED
A pattern of choosing courses of action that is sufﬁcient for meeting
short- and long-term health-related goals and can be strengthened
• Expresses desire to enhance decision making
• Expresses desire to enhance congruency of decisions with personal
values and goals
• Expresses desire to enhance congruency between decisions and
sociocultural goals and values
• Expresses desire to enhance risk–beneﬁt analysis of decisions
• Expresses desire to enhance the understanding of choices
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Values and beliefs
The patient will
• Express the desire to make effective decisions.
• Verbalize decision-making goals and concerns.
• Discuss measures used to evaluate decisions.
• Make decisions that promote maximal physical, mental, social,
and psychological well-being.
• Involve family, friends, and clergy in healthcare decision making
SUGGESTED NOC OUTCOMES
Decision Making; Participation in Healthcare Decisions; Self-Care:
INTERVENTIONS AND RATIONALES
Determine: Assess usual coping strategies employed by the patient
when making decisions; determine how the patient goes about mak-
ing difﬁcult decisions; have the patient describe several challenging
decisions he or she made in the past year. Assessment information
will help identify appropriate interventions.
Evaluate support systems available to the patient when it is neces-
sary to make decisions. Patients often need support of families or
other support systems when they are faced with major decisions.
Perform: Provide assistance with ADLs as required. As the patient
receives assistance, it is important to allow him or her to be as inde-
pendent as possible.
Make changes in the environment to reduce unnecessary stimula-
tion and promote a sense of calm.
Inform: Teach patient simple decision-making techniques and role-
play the same. Return demonstration from the patient will give
him or her conﬁdence that he or she can choose wisely among
Educate family about the importance of allowing the patient to
think and act for himself or herself in order to give the patient a
sense of control over the present situation.
Attend: Provide emotional support and encouragement to help
improve patient’s conﬁdence in his or her ability to make logical
Provide patient with all necessary support during hospitalization
to prepare him and his family to continue the process of having the
patient make decisions about his own care.
Involve patient in planning and decision making. Having the abil-
ity to participate will encourage greater compliance with the treat-
Manage: If patient continues to have difﬁculty, refer to case
manager/social worker/mental health professional for continued
Provide appropriate assistance to the family members when they
are trying to provide; it might be helpful in working with the
SUGGESTED NIC INTERVENTIONS
Decision-Making Support; Health System Guidance; Self-Responsibility
Moser, A., et al. (2007, February). Patient autonomy in nurse-led shared care:
A review of theoretical and empirical literature. Journal of Advanced Nurs-
ing, 57(4), 357–365.