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A person-centered communication and reflection model: sharing decision-making in chronic care
Vibeke Zoffmann1, Ingegerd Harder, Marit Kirkevold
1The University Hospitals' Centre for Nursing and Care Research , Copenhagen University Hospital, Copenhagen, Denmark. vz@ucsf.dk
Qualitative Health Research
|January 29, 2008
Summary
Shared decision making (SDM) in chronic illness care is challenging. A new model shows professionals gaining insight into patient decisions, co-creating knowledge for better problem-solving and empowering both parties.
Area of Science:
- Health Services Research
- Patient-Provider Communication
- Chronic Illness Management
Background:
- Shared decision making (SDM) is an ideal in chronic illness care but faces implementation challenges.
- Effective communication and reflection are crucial for successful SDM.
- Understanding patient-provider dynamics in complex chronic conditions is essential.
Purpose of the Study:
- To develop a model of patient-provider interaction for achieving SDM in chronic illness care.
- To identify key communication and reflection strategies that facilitate SDM.
- To explore the nature of knowledge co-creation in person-centered chronic care.
Main Methods:
- Grounded theory approach to analyze patient-provider interactions.
- Focus on managing poorly controlled diabetes as a case study.
- Development of a person-centered communication and reflection model.
Main Results:
- SDM in chronic care involves professionals understanding patients' decisions, not vice-versa.
- Specific communication and reflection choices significantly impact SDM achievement.
- Co-creation of person-centered knowledge empowers patients and professionals in problem-solving.
Conclusions:
- A novel model highlights the importance of professionals gaining insight into patient decisions for SDM.
- SDM requires innovative approaches to decision-making and problem-solving in chronic illness.
- The developed model's principles are potentially applicable across various chronic conditions.
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