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The data were analysed using independent\u2010samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, one\u2010way analysis of variance, Pearson correlation and multiple linear regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average scores of self\u2010efficacy in treatment, comfort promotion and facing death decision\u2010making were 4.3 (SD\u2009=\u20090.6; range\u2009=\u20091\u20135), 4.2 (SD\u2009=\u20090.6; range\u2009=\u20091\u20135) and 3.5 (SD\u2009=\u20090.6; range\u2009=\u20091\u20135), respectively. Active coping was a predictor of self\u2010efficacy in treatment, comfort\u2010promoting and facing death decision\u2010making. Patients' disclosure of preferences regarding mechanical ventilation, family members' anxiety and illness uncertainty were predictors of self\u2010efficacy in treatment decision\u2010making. Patients' disclosure of preferences regarding expensive medications was a predictor of self\u2010efficacy in comfort\u2010promoting decision\u2010making, and patients' age was a predictor of self\u2010efficacy in facing death decision\u2010making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Chinese family members of ICU patients reported relatively high self\u2010efficacy in treatment and comfort promotion decision\u2010making but lower self\u2010efficacy in facing death decision\u2010making. Active coping plays a critical role in enhancing decision\u2010making self\u2010efficacy across these three types of decisions. The predictors of decision\u2010making self\u2010efficacy varied according to the specific type of decision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>For Chinese family members of ICU patients, targeted strategies to strengthen their active coping skills are key to enhancing their confidence in making decisions with or for patients. Patients' disclosure of preferences to their family members is helpful for improving family members' confidence in making treatment and comfort promotion decisions. Extra support is especially needed for end\u2010of\u2010life decision\u2010making, particularly when the patient is younger.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This research informs future interventions by highlighting active coping and patients' disclosure of preferences to family members as key factors to strengthen decision\u2010making self\u2010efficacy among Chinese family members of ICU patients. However, family members' decision\u2010making self\u2010efficacy appears to be culturally specific, underscoring the need to design family\u2010centered critical care approaches that are tailored to cultural contexts in other settings. Besides, while our research found a positive association between anxiety and self\u2010efficacy in treatment decision\u2010making, the relationship between them requires further investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>STROBE guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70373","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T11:29:29Z","timestamp":1762860569000},"page":"7313-7324","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Decision\u2010Making Self\u2010Efficacy Among Family Members of\n                    <scp>ICU<\/scp>\n                    Patients: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"82","author":[{"given":"Yangfan","family":"Hu","sequence":"first","affiliation":[{"name":"School of Nursing Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0092-7178","authenticated-orcid":false,"given":"Kun","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuelan","family":"Peng","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Sun Yat\u2010Sen University Cancer Center  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yali","family":"Jiang","sequence":"additional","affiliation":[{"name":"School of Nursing Sun Yat\u2010Sen University  Guangzhou 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