Working in partnership: the application of shared decision-making to health visitor practice
| Autor: | Ashley Shepherd, Ruth Astbury, Helen Cheyne |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Parents Decision Making Psychological intervention Population health Nurses Community Health State Medicine Interviews as Topic 03 medical and health sciences 0302 clinical medicine Patient satisfaction Nursing Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Patient participation Child health care economics and organizations General Nursing Maternal-Child Nursing 030504 nursing business.industry Communication Visitor pattern Public health nursing General Medicine United Kingdom General partnership Female Descriptive research 0305 other medical science business |
| Zdroj: | Journal of Clinical Nursing. 26:215-224 |
| ISSN: | 0962-1067 |
| DOI: | 10.1111/jocn.13480 |
| Popis: | Aims and objectives To explore the processes that support shared decision-making when health visitors and parents are creating plans to improve the well-being of babies and children. Background Worldwide, there is a focus on promoting children's well-being to enhance the population health. Within the United Kingdom, health visitors have a key responsibility for working in partnership with parents to support this agenda. Despite evidence that the application of ‘shared decision-making’ frameworks can increase patient participation, improve patient satisfaction and improve health outcomes, there is limited research linking shared decision-making with health visitor practice. Design A qualitative, descriptive study. Methods The study was undertaken in two phases: in Phase 1, data were collected by audio recording two health visitor–parent decision-making conversations, in the absence of the researcher, where decisions around planning for a baby or child were being made as part of usual care, and then the participants’ experiences were sought through individual questionnaires. In Phase 2, semistructured interviews were conducted with nine health visitors and nine parents in relation to their recent experiences of planning care. Results Evidence of supportive processes included having a shared understanding around the issue needing to be addressed; being able to identify interventions that were accessible for the family; engaging in decision-making through deep, meaningful conversations using sensitive and responsive approaches; and establishing positive relationships between health visitors and parents, significant others within the family and other professionals. Conclusion Despite evidence of strong, trusting relationships between parents and health visitors, there were times when shared decision-making was unable to take place due to the absence of supportive processes. Relevance to clinical practice Health visitors are aware that planning interventions with parents can be complex. These findings indicate the value of using a shared decision-making framework to structure planning, as application of a framework identified the processes that support a collaborative approach in practice. |
| Databáze: | OpenAIRE |
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