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Shared Decision-Making for Nursing Practice: An Integrative Review.

Marie Truglio-Londrigan1, Jason T Slyer2

  • 1Pace University, College of Health Professions, Lienhard School of Nursing 861 Bedford Road Pleasantville, NY 10570, USA.

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|February 20, 2018
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Summary
This summary is machine-generated.

This study provides a comprehensive process model for shared decision-making in healthcare. It synthesizes existing literature to guide providers in integrating shared decision-making into practice effectively.

Keywords:
CommunicationIntegrative reviewNurse-patient relationshipPractice modelReflectionShared decision-making

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Area of Science:

  • Healthcare Management
  • Patient-Provider Communication
  • Clinical Process Improvement

Background:

  • Shared decision-making (SDM) is a widely recognized concept in healthcare, yet its practical implementation remains a challenge for providers.
  • Existing literature often focuses on isolated components of SDM, lacking a holistic view of the process.
  • This gap hinders effective integration of SDM into routine clinical practice.

Purpose of the Study:

  • To define shared decision-making (SDM) as a comprehensive process from both patient and provider viewpoints.
  • To encompass all healthcare settings and interactions.
  • To develop a framework for understanding and implementing SDM.

Main Methods:

  • An integrative review methodology was employed, systematically searching major databases (PubMed, CINAHL, Cochrane, PsycINFO) from 1970-2016.
  • Included studies encompassed quantitative (experimental, non-experimental) and qualitative research designs, as well as theoretical articles.
  • Data evaluation and synthesis were conducted to identify overarching themes in SDM.

Main Results:

  • Fifty-two relevant papers were synthesized, revealing three core categories of shared decision-making.
  • These categories include: (a) communication and relationship building, (b) collaborative decision development, and (c) implementing the shared decision.
  • Sub-themes within these categories inform a proposed visual representation of the SDM process.

Conclusions:

  • A comprehensive model of shared decision-making (SDM) between nurses and patients was established.
  • A visual guide illustrates SDM as a dynamic process within healthcare encounters.
  • The model highlights the ongoing nature of SDM, allowing for patient reconsideration of decisions over time.