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The decision partner in healthcare decision-making: A concept analysis
Tamryn F Gray1, Marie T Nolan2, Marla L Clayman3
1Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, United States.
This study defines the healthcare decision partner, identifying six key attributes like relationship with the patient and willingness to participate. Findings aim to refine the concept and guide interventions supporting these crucial partners.
Area of Science:
- Healthcare Decision-Making
- Patient Support Systems
- Concept Analysis in Health Sciences
Background:
- The concept of a decision partner, who aids patients in healthcare choices, lacks precise definition and consensus.
- Broader application of the decision partner concept requires conceptual clarity and standardization.
Purpose of the Study:
- To establish a clear definition and description of the decision partner concept within healthcare decision-making.
- To analyze the attributes, antecedents, and consequences of the decision partner role.
Main Methods:
- A comprehensive concept analysis was performed using the Walker and Avant method.
- Searched PsychINFO, PubMed, Embase, and CINAHL databases for articles published between 1990-2017.
- Included qualitative, quantitative, or mixed-methods studies using the term 'decision partner' in healthcare.
Main Results:
- Six defining attributes of a decision partner were identified from 112 analyzed articles.
- These attributes include having a relationship with the patient, willingness to participate, understanding the patient's condition and decisions, decision-making self-efficacy, emotional capacity, and fulfilling supportive roles.
- Key supportive roles identified were patient advocacy and acting as an information hub.
Conclusions:
- A unified definition of the decision partner concept has been developed.
- Findings provide insights for refining the concept across diverse healthcare settings and patient populations.
- The study serves as a foundation for developing measurement instruments and interventions to support decision partners in healthcare.
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