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Area of Science:

  • Gerontology
  • Healthcare Management
  • Cognitive Science

Background:

  • Shared decision-making (SDM) is crucial in dementia care.
  • Existing models require adaptation for the complexities of dementia.

Purpose of the Study:

  • To describe decision-making process elements in dementia care.
  • To enrich a model facilitating SDM for professionals and informal caregivers.

Main Methods:

  • Qualitative study using secondary analysis of 117 interviews.
  • Involved people with dementia, informal caregivers, and professionals across 23 care networks.
  • Compared findings with an existing collaborative deliberation model.

Main Results:

  • Enhanced collaborative deliberation model incorporating 7 elements.
  • Key additions include constructive network engagement and recognizing/defining decisions.
  • Emphasis on exploring alternatives, preference construction, and integration.

Conclusions:

  • Modified collaborative deliberation model proposed for dementia care.
  • Highlights need for attention in recognizing/defining decisions, trying alternatives, and managing conflicting interests.
  • Professionals must identify decision-making initiation and foster shared understanding.