Shared clinical decision-making experiences in nursing: a qualitative study

Background Shared decision making (SDM) is a patient-centered nursing concept that emphasizes the autonomy of patients. SDM is a co-operative process that involves information exchange and communication between medical staff and patients for making treatment decisions. In this study, we explored the...

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Bibliographic Details
Published in:BMC nursing 2021-06, Vol.20 (1), p.1-85, Article 85
Main Authors: Chung, Fen-Fang, Wang, Pao-Yu, Lin, Shu-Chuan, Lee, Yu-Hsia, Wu, Hon-Yen, Lin, Mei-Hsiang
Format: Article
Language:English
Subjects:
Clinical decision making
Clinical medicine
Clinical nursing
Content analysis
Data analysis
Data collection
Decision making
Decision-making, Group
Evidence-based nursing
Health aspects
Health care
in-service education
Interviews
Medical research
Methods
Nurses
Nursing
Nursing care
Patient satisfaction
Patient-centered care
Qualitative research
SDM
shared decision making
Values
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Summary:Background Shared decision making (SDM) is a patient-centered nursing concept that emphasizes the autonomy of patients. SDM is a co-operative process that involves information exchange and communication between medical staff and patients for making treatment decisions. In this study, we explored the experiences of clinical nursing staff participating in SDM. Methods This study adopted a qualitative research design. Semistructured interviews were conducted with 21 nurses at a medical center in northern Taiwan. All interview recordings were transcribed verbatim. Content analysis was performed to analyze the data. Results The findings yielded the following three themes covering seven categories: knowledge regarding SDM, trigger discussion and coordination, and respect of sociocultural factors. Conclusions The results of this study describe the experiences of clinical nursing staff participating in SDM and can be used as a reference for nursing education and nursing administrative supervisors wishing to plan and enhance professional nursing SDM in nursing education. Keywords: shared decision making, nurses, in-service education, SDM
ISSN:1472-6955
1472-6955
DOI:10.1186/s12912-021-00597-0