Higher Integrity Health Care

Elwyn, Glyn

doi:10.1161/circoutcomes.114.000688

Cited by 8 publications

(8 citation statements)

References 28 publications

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“…Prerequisites for practicing SDM include mental health-care professionals who are able to recognize that different clinical situations require differing approaches, as well as acceptance of SDM as a core element of good practice (Elwyn & Fisher, 2014; Grim et al., 2016). The process of reflection in clinical supervision improves mental health-care professionals’ understanding of their relationship with their patients (Holm Wiebe et al., 2011), which is essential for achieving a balance between power and responsibility to form safe care.…”

Section: Discussionmentioning

confidence: 99%

“…A creative dialogue within the team enables mental health-care professionals to actively reflect on their experiences, attitudes, and alternatives for action. This learning process may promote collective SDM practice in the therapeutic milieu (Swart & Pye, 2002), and is also important for applying guidelines in a person-centered way (Elwyn & Fisher, 2014). The learning process may promote collective understanding and shared attitudes, which are important for s tanding together as a team .…”

Section: Discussionmentioning

confidence: 99%

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Shared Decision-Making—Balancing Between Power and Responsibility as Mental Health-Care Professionals in a Therapeutic Milieu

et al. 2018

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Background: Shared decision-making (SDM) is supposed to position patient and expert knowledge more equal, in which will have an impact on how mental health-care professionals relate to their patients. As SDM has not yet been widely adopted in therapeutic milieus, a deeper understanding of its use and more knowledge of interventions to foster its implementation in clinical practice are required. Aim: To explore how mental health-care professionals describe SDM in a therapeutic milieu as expressed through clinical supervision. The research question was ''What are prerequisites for mental health-care professionals to practice SDM in a therapeutic milieu?'' Methods: A qualitative content analysis of data from focus groups dialogues in 10 clinical supervision sessions where eight mental health-care professionals participated was performed. Findings: The theme, practicing SDM when balancing between power and responsibility to form safe care, was based on three categories: internalizing the mental health-care professionals' attributes, facilitating patient participation, and creating a culture of trust. Conclusion: SDM is a complex and arduous process requiring appropriate interventions. Clinical supervision is necessary for reflection on SDM and for improving practice in a therapeutic milieu.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Shared Decision-Making—Balancing Between Power and Responsibility as Mental Health-Care Professionals in a Therapeutic Milieu

et al. 2018

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“…One recent study by [25] on SDM in mental health services, reveals that this application is a continuous, dynamic, and difficult process that requires every mental health professional to internalize his characteristics, facilitate patient involvement, and create a culture of trust in the management process of treatment.…”

Section: Is Shared Decision-making the Norm Nowadays?mentioning

confidence: 99%

Shared Decision-Making towards a Higher Quality of Care: Is This the Norm?

Athanasiou¹,

Bachtsetzis²

2022

Healthcare Access

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Patient-doctor relationship has traditionally been paternalistic, in which the doctor decided on behalf of the patient. It focused mainly between the patient who called for help and the doctor whose decisions had to be silently observed and followed by the patient. In this paternalistic model, the physician used his skills to choose the necessary interventions and treatments that were likely to restore the health of the patient. All the information given to the patient was selected to encourage them to consent to the doctor’s decisions. This definition of the asymmetric or unbalanced interaction between physicians and patients has begun to be questioned over the last 20 years. There has been a shift from this direction to one where the patient is more informed, empowered, and independent - a move from a “paternalistic” to a more “complementary” relationship. Critics suggested a more active, autonomous patient-centered role which supports greater patient control, reduced doctors’ dominance, and a more mutual participation. This approach has been described as one where the doctor attempts to enter the patient’s world to see the disease with the eyes of the patient and is becoming the predominant model in clinical practice today.

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“…Provide emotional support for healthcare professionals and patients, as necessary and as symptoms of psychological/psychiatric nature are identified 52-63 ; 10. The decisions between doctor and patient must follow the principles of shared decision-making, in which the patient is adequately informed of the benefits or absence of benefits, as well as the risks, to actively participate in the medical decision [64][65][66][67][68][69][70][71][72][73][74][75] . In addition, the AMB stands firmly in favor of the autonomy of doctors and patients, under the terms of the Helsinki Declaration, of which we are signatory 76 .…”

Section: Recommendationsmentioning

confidence: 99%

AMB Guidelines: COVID –19

Ferreira

Sampaio

Chagas

et al. 2020

Rev. Assoc. Med. Bras.

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The Brazilian Medical Association comprises various Specialty Societies, interacts with the Health System, public and private, municipal, state, and federal, and actively participates in the international scientific community through the World Medical Association and many other health institutions involved in education, assistance, or research. The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

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Higher Integrity Health Care

Cited by 8 publications

References 28 publications

Shared Decision-Making—Balancing Between Power and Responsibility as Mental Health-Care Professionals in a Therapeutic Milieu

Shared Decision-Making—Balancing Between Power and Responsibility as Mental Health-Care Professionals in a Therapeutic Milieu

Shared Decision-Making towards a Higher Quality of Care: Is This the Norm?

AMB Guidelines: COVID –19

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