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Shared decision-making in home-care from the nurse's perspective: sitting at the kitchen table--a qualitative
1The College of Health Professions, Lienhard School of Nursing, Pace University, Pleasantville, NY, USA.
Journal of Clinical Nursing
|January 22, 2013
Summary
Home-care nurses experience shared decision-making as a complex process. Understanding these nurse-patient interactions is crucial for effective home healthcare delivery and improved patient outcomes.
Area of Science:
- Nursing Science
- Healthcare Delivery
- Patient-Centered Care
Background:
- Shared decision-making (SDM) is a complex partnership between healthcare providers and patients.
- It involves participation, education, negotiation, and agreement.
- Limited research explores the nurse's perspective on SDM in home-care settings.
Purpose of the Study:
- To explore and describe the lived experience of shared decision-making from the perspective of home-care nurses.
- To gain a deeper understanding of the nurse's role and perception in SDM within the home-care context.
Main Methods:
- A qualitative descriptive study design was employed.
- Semi-structured interviews were conducted with 10 home-care nurses.
- Colaizzi's method was used for data analysis.
Main Results:
- Four major themes emerged: 'Begin where the patient is,' 'Education for shared decision-making,' 'The village and shared decision-making,' and 'Whose decision is it?'
- Each theme encompassed various subthemes, illustrating the multifaceted nature of SDM.
- Nurses' experiences highlight the dynamic and contextual elements of SDM in home care.
Conclusions:
- Shared decision-making in home care is a complex, multidimensional, and fluid process.
- A comprehensive understanding of SDM is essential for nurses in diverse care settings.
- This knowledge can enhance nurses' practice and application of SDM in home care.
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