The second major factor that influences the residents' decision-making to sign out the case as DAMA is the medical condition of the child on the day of DAMA.
Another priority was the early involvement of residents' relatives in the study, especially when residents lacked decision making abilities and consultees needed to be involved in the consent process.
This too was an unanticipated outcome for the residency program which, in its own eyes, had made every effort to take account of resident perspectives and include residents in all decision making processes.
Lewis [ 120] also recommends facilities form a leadership group comprised of consumers, family members, service providers, and administrators to increase the influence of resident involvement in decision making.
Grand Isle mayor Arthur Ballenger ordered the evacuation of the town's 1,500 residents, a decision made due to the large number of tourists on the island and to prevent anyone from being unable to leave the island.
The social factors underpinning the interaction between nurses, residents' families and doctors also influence decision making around antibiotic prescribing.
The new budget law effective in January 2013 enabled local residents to take part in the decision making process on local development through the implementation of the LDF.
Furthermore, research that demonstrates an understanding of resident decision-making as well as interventions to assist decision-making is also needed.
The findings highlight the importance of understanding individual resident needs and consideration of the complexity of living in large group living situations, in particular in regard to resident decision-making.
The three themes that emerged in this study: (i) maintaining independence, (ii) having something to do, and (iii) the importance of social interaction were influenced by the challenges of participants having a progressive cognitive impairment, such as dementia and living in LTC where independence is not readily encouraged, and resident decision-making is actively discouraged.
