Shared decision-making for people living with dementia in extended care settings: a systematic review.

Autor:	Daly RL; Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK., Bunn F; Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK., Goodman C; Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2018 Jun 09; Vol. 8 (6), pp. e018977. Date of Electronic Publication: 2018 Jun 09.
DOI:	10.1136/bmjopen-2017-018977
Abstrakt:	Background: Shared decision-making is recognised as an important element of person-centred dementia care. Objectives: The aim of this review was to explore how people living with dementia and cognitive impairment can be included in day-to-day decisions about their health and care in extended care settings. Design: A systematic review including primary research relating to shared decision-making, with cognitively impaired adults in (or transferrable to) extended care settings. Databases searched were: CINAHL, PubMed, the Cochrane Library, NICE Evidence, OpenGrey, Autism Data, Google Scholar, Scopus and Medicines Complete (June to October 2016 and updated 2018) for studies published in the last 20 years. Results: Of the 19 included studies 15 involved people with living dementia, seven in extended care settings. People living with cognitive impairment often have the desire and ability to participate in decision-making about their everyday care, although this is regularly underestimated by their staff and family care partners. Shared decision-making has the potential to improve quality of life for both the person living with dementia and those who support them. How resources to support shared decision-making are implemented in extended care settings is less well understood. Conclusions: Evidence suggests that people living with cognitive impairment value opportunities to be involved in everyday decision-making about their care. How these opportunities are created, understood, supported and sustained in extended care settings remains to be determined. Trial Registration Number: CRD42016035919. Competing Interests: Competing interests: None declared. (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
Databáze:	MEDLINE
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