Conceptual understanding and applicability of shared decision‐making in psychiatric care: An integrative review

2020 ◽  
Author(s):  
Caroline Gurtner ◽  
Jos M. G. A. Schols ◽  
Christa Lohrmann ◽  
Ruud J. G. Halfens ◽  
Sabine Hahn
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Conceptual Understanding ◽  
Psychiatric Care ◽  
Integrative Review ◽  
Shared Decision

scholarly journals Montgomery and shared decision-making: implications for good psychiatric practice

2018 ◽  
Vol 213 (5) ◽  
pp. 630-632 ◽  
Author(s):  
Gwen Adshead ◽  
David Crepaz-Keay ◽  
Mayura Deshpande ◽  
K.W.M (Bill) Fulford ◽  
Veryan Richards
Keyword(s):  
Decision Making ◽  
Medical Treatment ◽  
Supreme Court ◽  
Shared Decision Making ◽  
Best Practice ◽  
Psychiatric Care ◽  
Psychiatric Practice ◽  
Health Board ◽  
Shared Decision ◽  
Consent To Medical Treatment

SummaryThe 2015 Supreme Court judgment in Montgomery v Lanarkshire Health Board [2015] UKSC 11 established that consent to medical treatment requires shared decision-making based on dialogue between the clinician and patient. In this editorial, we examine what Montgomery means for standards of good psychiatric practice, and argue that it represents an opportunity for delivering best practice in psychiatric care.Declaration of interestNone.

To what extent psychiatric patients feel involved in decision making about their mental health care? Relationships with socio-demographic, clinical, and psychological variables

2013 ◽  
Vol 26 (6) ◽  
pp. 372-381 ◽  
Author(s):  
Carlos De las Cuevas ◽  
Wenceslao Peñate
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Self Efficacy ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Shared Decision ◽  
Psychiatric Outpatients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Relationships

BackgroundShared decision making (SDM) is an essential component of patient-centered care, but there is little information about its use in the psychiatric care.ObjectiveTo measure to what extent psychiatric patients feel they were involved in the process and steps of decision making about treatment choice and to analyse the influence of socio-demographic, clinical, and psychological processes on this perception.MethodsCross-sectional survey involving 1100 consecutive psychiatric outpatients invited to complete the nine-item Shared Decision-Making Questionnaire (SDM-Q-9), health locus of control and control preferences, self-efficacy and drug attitude scales, as well as a questionnaire including socio-demographic and clinical variables.ResultsA high response rate of 77% was registered, resulting in a sample of 846 psychiatric outpatients. SDM-Q-9 total score indicate a moderately low degree of perceived participation, with differing perceived implementation of the individual the SDM process steps. Patient diagnosis evidenced significant differences in SDM perception. Patients’ perception of SDM was explained by four main variables: the older the patient, the lower self-reported SDM; having a diagnosis of schizophrenia increases the likelihood of lower SDM; a positive attitude towards psychiatric drugs favors greater SDM, as well as a higher level of self-efficacy.ConclusionThe result of this study suggests that SDM is currently not widely practiced in psychiatric care. Further research is needed to examine if the low level of participation self-reported is justified by psychiatric patients’ decisional capacity.

Informed consent for shared decision-making in Lebanese psychiatric care

2018 ◽  
Vol 5 ◽  
pp. 94-98
Author(s):  
L. Tarabey ◽  
S. El Bitar ◽  
B. Karam ◽  
J. Zaidan ◽  
M. Hayek ◽  
...  
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Shared Decision Making ◽  
Psychiatric Care ◽  
Shared Decision

scholarly journals Shared Decision-Making for Nursing Practice: An Integrative Review

2018 ◽  
Vol 12 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Marie Truglio-Londrigan ◽  
Jason T. Slyer
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Visual Representation ◽  
Healthcare Providers ◽  
Relationship Building ◽  
Integrative Review ◽  
Cochrane Central Register ◽  
Major Theme ◽  
Shared Decision ◽  
Healthcare Settings

Background:Shared decision-making has received national and international interest by providers, educators, researchers, and policy makers. The literature on shared decision-making is extensive, dealing with the individual components of shared decision-making rather than a comprehensive process. This view of shared decision-making leaves healthcare providers to wonder how to integrate shared decision-making into practice.Objective:To understand shared decision-making as a comprehensive process from the perspective of the patient and provider in all healthcare settings.Methods:An integrative review was conducted applying a systematic approach involving a literature search, data evaluation, and data analysis. The search included articles from PubMed, CINAHL, the Cochrane Central Register of Controlled Trials, and PsycINFO from 1970 through 2016. Articles included quantitative experimental and non-experimental designs, qualitative, and theoretical articles about shared decision-making between all healthcare providers and patients in all healthcare settings.Results:Fifty-two papers were included in this integrative review. Three categories emerged from the synthesis: (a) communication/ relationship building; (b) working towards a shared decision; and (c) action for shared decision-making. Each major theme contained sub-themes represented in the proposed visual representation for shared decision-making.Conclusion:A comprehensive understanding of shared decision-making between the nurse and the patient was identified. A visual representation offers a guide that depicts shared decision-making as a process taking place during a healthcare encounter with implications for the continuation of shared decisions over time offering patients an opportunity to return to the nurse for reconsiderations of past shared decisions.

scholarly journals Predictors of Shared Decision Making and Level of Agreement Between Consumers and Providers in Psychiatric Care

2013 ◽  
Vol 50 (4) ◽  
pp. 375-382 ◽  
Author(s):  
Sadaaki Fukui ◽  
Michelle P. Salyers ◽  
Marianne S. Matthias ◽  
Linda Collins ◽  
John Thompson ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Psychiatric Care ◽  
Shared Decision ◽  
Level Of Agreement
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