Related Experiment Video
Updated: Jun 20, 2025
08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
12.7K
[Home support for vulnerable older people: from shared decision-making to negotiation : A qualitative pilot study]
Esther Sansone1, Carla Di Martino2, Jean-Baptiste Beuscart2
1Université de Lille, CeRIES-ULR 3589 : individus, épreuves, sociétés, Lille, France.
Summary
Shared decision-making (SDM) in home care involves older adults, caregivers, and professionals. Negotiation dynamics emerge when opinions differ, revealing four distinct negotiation types influenced by various factors.
Area of Science:
- Gerontology
- Health Services Research
- Qualitative Research
Context:
- Home care settings for vulnerable older adults.
- Interactions between older adults, informal caregivers, and healthcare professionals.
- Challenges in achieving shared decision-making (SDM) when stakeholder opinions diverge.
Purpose:
- To explore the dynamics of SDM in home care for vulnerable older adults.
- To identify negotiation patterns when disagreements arise during care planning.
- To understand the interplay of individual, collective, and environmental factors influencing SDM.
Summary:
- This qualitative pilot study observed SDM in home care settings.
- Semi-structured interviews were conducted with older adults, caregivers, and healthcare professionals.
- A negotiation framework identified four types of negotiation dynamics influencing SDM.
Impact:
- Provides insights into negotiation strategies for effective SDM in home care.
- Highlights the complex factors influencing care decisions for vulnerable older adults.
- Informs the development of interventions to support SDM and improve care outcomes.
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