Roles, processes, and outcomes of interprofessional shared decision-making in a neonatal intensive care unit: A qualitative study

Autor:	Isabelle Gaboury, Betty Cragg, Jennifer Medves, Ian D. Graham, Sandra Dunn
Rok vydání:	2018
Předmět:	Adult Male Parents Canada Consensus Neonatal intensive care unit Attitude of Health Personnel Process (engineering) Interprofessional Relations media_common.quotation_subject Decision Making Tertiary care 03 medical and health sciences Professional Role 0302 clinical medicine Nursing Intensive Care Units Neonatal Credibility Humans Interprofessional teamwork 030212 general & internal medicine Cooperative Behavior Qualitative Research media_common Patient Care Team 030503 health policy & services General Medicine Middle Aged Deliberation Group Processes Leadership Feeling Female 0305 other medical science Psychology Qualitative research
Zdroj:	Journal of Interprofessional Care. 32:284-294
ISSN:	1469-9567 1356-1820
DOI:	10.1080/13561820.2018.1428186
Popis:	Shared decision-making provides an opportunity for the knowledge and skills of care providers to synergistically influence patient care. Little is known about interprofessional shared decision-making processes in critical care settings. The aim of this study was to explore interprofessional team members' perspectives about the nature of interprofessional shared decision-making in a neonatal intensive care unit (NICU) and to determine if there are any differences in perspectives across professional groups. An exploratory qualitative approach was used consisting of semi-structured interviews with 22 members of an interprofessional team working in a tertiary care NICU in Canada. Participants identified four key roles involved in interprofessional shared decision-making: leader, clinical experts, parents, and synthesizer. Participants perceived that interprofessional shared decision-making happens through collaboration, sharing, and weighing the options, the evidence and the credibility of opinions put forward. The process of interprofessional shared decision-making leads to a well-informed decision and participants feeling valued. Findings from this study identified key concepts of interprofessional shared decision-making, increased awareness of differing professional perspectives about this process of shared decision-making, and clarified understanding of the different roles involved in the decision-making process in an NICU.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c3c12628f6f26b592cca0871a4a8bd9b https://doi.org/10.1080/13561820.2018.1428186 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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