Developing a Taxonomy and Mapping Concepts of Shared Decision Making to Improve Clinicians Understanding

Ervin, Kaye

doi:10.15406/ncoaj.2017.03.00063

Cited by 8 publications

(19 citation statements)

References 46 publications

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“…Our results indicate that clinicians assume most of the responsibilities regarding the initiation and achievement of SDM in clinical practice . Indeed, because clinicians identify most barriers, clinicians are well equipped to learn how to overcome these barriers and to apply SDM in daily practice . This familiarization process includes imparting clinicians with the importance and ethical obligation to involve patients in the treatment decision‐making process, making them aware of the impact of their unintended (and sometimes unnecessary) influence on treatment decisions, and training them to engage their patients in SDM as part of the clinical encounter—even when this is difficult.…”

Section: Discussionmentioning

confidence: 92%

“…The participating clinicians in our study described these aspects; however, clinicians do not have a clear uniform definition of SDM that addresses all elements of the SDM concept (such as making clear that a decision is to be made and that the patient's opinion is important and exploring the patient's role preferences) . This indicates that many clinicians still resort to informed consent and lack the necessary knowledge of SDM to go beyond the established informed consent processes . Although informed consent and SDM overlap, SDM may be applied to a wider range of clinical decisions and emphasizes the needs of the individual patient …”

Section: Discussionmentioning

confidence: 97%

“…20 This indicates that many clinicians still resort to informed consent and lack the necessary knowledge of SDM to go beyond the established informed consent processes. 53 Although informed consent and SDM overlap, SDM may be applied to a wider range of clinical decisions and emphasizes the needs of the individual patient. 54…”

Section: Discussionmentioning

confidence: 99%

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Patients' and clinicians' perspectives on shared decision‐making regarding treatment decisions for depression, anxiety disorders, and obsessive‐compulsive disorder in specialized psychiatric care

Rodenburg-Vandenbussche

Carlier

Vliet

et al. 2019

Evaluation Clinical Practice

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Rationale, aims, and objectives People worldwide are affected by psychiatric disorders that lack a “best” treatment option. The role of shared decision‐making (SDM) in psychiatric care seems evident, yet remains limited. Research on SDM in specialized mental health is scarce, concentrating on patients with depressive disorder or psychiatric disorders in general and less on patients with anxiety and obsessive‐compulsive disorder (OCD). Furthermore, recent research concentrates on the evaluation of interventions to promote and measure SDM rather than on the feasibility of SDM in routine practice. This study investigated patients' and clinicians' perspectives on SDM to treat depression, anxiety disorders, and OCD as to better understand SDM in specialized psychiatric care and its challenges in clinical practice. Methods Transcripts of eight focus groups with 17 outpatients and 33 clinicians were coded, and SDM‐related codes were analysed using thematic analyses. Results Motivators, responsibilities, and preconditions regarding SDM were defined. Patients thought SDM should be common practice given the autonomy they have over their own bodies and felt responsible for their treatments. Clinicians value SDM for obtaining patients' consent, promoting treatment adherence, and establishing a good patient‐clinician relationship. Patients and clinicians thought clinicians assumed the most responsibility regarding the initiation and achievement of SDM in clinical practice. According to clinicians, preconditions were often not met, were influenced by illness severity, and formed important barriers (eg, patient's decision‐making capacity, treatment availability, and clinicians' preferences), leading to paternalistic decision‐making. Patients recognized these difficulties, but felt none of these preclude the implementation of SDM. Personalized information and more consultation time could facilitate SDM. Conclusions Patients and clinicians in specialized psychiatric care value SDM, but adapting it to daily practice remains challenging. Clinicians are vital to the implementation of SDM and should become versed in how to involve patients in the decision‐making process, even when this is difficult.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 97%

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Patients' and clinicians' perspectives on shared decision‐making regarding treatment decisions for depression, anxiety disorders, and obsessive‐compulsive disorder in specialized psychiatric care

Rodenburg-Vandenbussche

Carlier

Vliet

et al. 2019

Evaluation Clinical Practice

View full text Add to dashboard Cite

show abstract

“…Previously identified terms and the taxonomy and mapping of concepts [17] was utilised for the search strategy.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…Subsequently the search strategy was based on previously identified terms and concepts developed in a taxonomy and mapping of SDM [17]. Additional terms used to describe RAC internationally and traditionally were added (such as long term care and nursing homes).…”

Section: K Ervin Et Almentioning

confidence: 99%

Shared Decision Making in Residential Aged Care: A Framework Synthesis

Ervin¹,

Blackberry²,

Haines³

2017

OJN

Self Cite

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Very little is known about shared decision making (SDM) in residential aged care, despite world-wide policy and imperatives that encourage resident choice and autonomy. This paper provides a framework synthesis of SDM in residential aged care (RAC) and potential barriers and enablers to implement SDM utilising a theoretical framework of implementation. A review of the literature on SDM in RAC from 2005 to 2016 was undertaken, using MEDLINE (Ovid), CINAHL, PsychINFO and Scopus. The articles were synthesised by utilising an implementation theory framework to better understand what may facilitate or hinder the introduction of SDM. Eighteen studies were identified and analysed to determine barriers and enablers to SDM in RAC from the perspectives of staff, residents and relatives. A workplace culture of person-centred care and judicious use of research evidence are enablers of SDM. There is a potential need for additional resources, such as education for staff and families to enable implementation of SDM. Implementation of any health care intervention, including SDM, relies on many complex factors but these are predominantly related to capacity. Determining current uptake and readiness of RAC organisations, residents and their families to adopt SDM is an essential starting point.

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Making shared decisions in relation to planned caesarean sections: What are we up to?

Coates

Thirukumar

Henry

2020

Patient Education and Counseling

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Developing a Taxonomy and Mapping Concepts of Shared Decision Making to Improve Clinicians Understanding

Cited by 8 publications

References 46 publications

Patients' and clinicians' perspectives on shared decision‐making regarding treatment decisions for depression, anxiety disorders, and obsessive‐compulsive disorder in specialized psychiatric care

Patients' and clinicians' perspectives on shared decision‐making regarding treatment decisions for depression, anxiety disorders, and obsessive‐compulsive disorder in specialized psychiatric care

Shared Decision Making in Residential Aged Care: A Framework Synthesis

Making shared decisions in relation to planned caesarean sections: What are we up to?

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