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Factors influencing shared decision-making in long-term care facilities
1College of Nursing and Research Institute of Nursing Science, Kyungpook National University, Daegu, Republic of Korea. daeunkim@knu.ac.kr.
BMC Geriatrics
|September 19, 2023
Summary
Shared decision-making in long-term care is influenced by staff
Area of Science:
- Gerontology
- Healthcare Management
- Communication Studies
Background:
- Shared decision-making (SDM) enhances care satisfaction and quality of life.
- SDM implementation is limited in long-term care (LTC) settings.
- Research on promoting SDM in LTC is scarce.
Purpose of the Study:
- Identify factors influencing SDM in LTC facilities.
- Utilize the Person-centered Practice Framework.
- Provide evidence for improving SDM practices.
Main Methods:
- Surveyed 300 staff in 13 Korean LTC facilities.
- Analyzed data from 280 respondents using multilevel linear regression.
- Assessed SDM, personal factors, and care environment factors.
Main Results:
- Person-centered care education, attitude, and communication behavior positively correlated with SDM.
- A positive perception of the care environment significantly predicted higher SDM.
- Specific factors influencing SDM were identified.
Conclusions:
- Personal and environmental factors are key to promoting SDM in LTC.
- Findings support the development of interventions to enhance SDM.
- Evidence-based strategies can improve resident-centered care.
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