Practitioners' views on shared decision-making implementation

Autor: Rianne Fijten, C. Roumen, Anshu Ankolekar, Andre Dekker, Karina Olling, Leonard Wee, Karina Dahl Steffensen, Hajar Hasannejadasl
Přispěvatelé: RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Precision Medicine, RS: GROW - R2 - Basic and Translational Cancer Biology, RS: FSE BISS, Radiotherapie, Health Services Research
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Health Care Providers
Denmark
Nurses
Social Sciences
Mindset
ENCOUNTER
Research Ethics
Geographical locations
Lung and Intrathoracic Tumors
Habits
Cognition
FACILITATORS
Decision aids
Medicine and Health Sciences
Psychology
Medical Personnel
Research Integrity
media_common
Multidisciplinary
Data Collection
Flexibility (personality)
Qualitative Studies
Shared
Europe
Professions
Oncology
Research Design
Medicine
HEALTH
Thematic analysis
Research Article
CONVERSATION
Science Policy
media_common.quotation_subject
Science
Decision Making
Context (language use)
INVOLVE PATIENTS
Cancer Care Facilities
Research and Analysis Methods
Perception
Humans
European Union
Research ethics
Medical education
Behavior
BARRIERS
Cognitive Psychology
EXTENT
Biology and Life Sciences
Cancers and Neoplasms
PERFORMANCE
THE-TRAINER PROGRAM
RANDOMIZED-TRIAL
Health Care
People and Places
Cognitive Science
Population Groupings
Decision Making
Shared
Qualitative research
Neuroscience
Zdroj: Radiotherapy and Oncology, 170, S883-S884. Elsevier Ireland Ltd
PLoS ONE, Vol 16, Iss 11, p e0259844 (2021)
PLOS ONE, 16(11):0259844. Public Library of Science
PLoS ONE, Vol 16, Iss 11 (2021)
University of Southern Denmark
PLoS ONE
Ankolekar, A, Steffensen, K D, Olling, K, Dekker, A, Wee, L, Roumen, C, Hasannejadasl, H & Fijten, R 2021, ' Practitioners' views on shared decision-making implementation : A qualitative study ', PLOS ONE, vol. 16, no. 11, e0259844 . https://doi.org/10.1371/journal.pone.0259844
ISSN: 1932-6203
0167-8140
DOI: 10.1371/journal.pone.0259844
Popis: Introduction Shared decision-making (SDM) refers to the collaboration between patients and their healthcare providers to make clinical decisions based on evidence and patient preferences, often supported by patient decision aids (PDAs). This study explored practitioner experiences of SDM in a context where SDM has been successfully implemented. Specifically, we focused on practitioners’ perceptions of SDM as a paradigm, factors influencing implementation success, and outcomes. Methods We used a qualitative approach to examine the experiences and perceptions of 10 Danish practitioners at a cancer hospital experienced in SDM implementation. A semi-structured interview format was used and interviews were audio-recorded and transcribed. Data was analyzed through thematic analysis. Results Prior to SDM implementation, participants had a range of attitudes from skeptical to receptive. Those with more direct long-term contact with patients (such as nurses) were more positive about the need for SDM. We identified four main factors that influenced SDM implementation success: raising awareness of SDM behaviors among clinicians through concrete measurements, supporting the formation of new habits through reinforcement mechanisms, increasing the flexibility of PDA delivery, and strong leadership. According to our participants, these factors were instrumental in overcoming initial skepticism and solidifying new SDM behaviors. Improvements to the clinical process were reported. Sustaining and transferring the knowledge gained to other contexts will require adapting measurement tools. Conclusions Applying SDM in clinical practice represents a major shift in mindset for clinicians. Designing SDM initiatives with an understanding of the underlying behavioral mechanisms may increase the probability of successful and sustained implementation.
Databáze: OpenAIRE
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