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. 2024 Oct 21:5:100352.
doi: 10.1016/j.pecinn.2024.100352. eCollection 2024 Dec 15.

Patients' and health professionals' perspectives regarding shared decision making in the psychiatric inpatient setting - A multiple qualitative case study

Caroline Gurtner  1   2 , Jos M G A Schols  2   3 , Christa Lohrmann  4 , Sabine Hahn  1
Affiliations

Patients' and health professionals' perspectives regarding shared decision making in the psychiatric inpatient setting - A multiple qualitative case study

Caroline Gurtner et al. PEC Innov. .

Abstract

Objective: Shared decision-making is one promising approach to promoting recovery and person-centred care but seems challenging for implementation in clinical practice. This study aimed to explore how patients and health professionals experience shared decision-making and its facilitators and barriers.

Methods: A multiple qualitative case study design was chosen, using a constant comparative method. Multiple data sources were used, including individual interviews, observation, document analysis and a focus group.

Results: Through first a within-case analysis and then second a cross-case analysis, four patient profiles and their potential for shared decision-making were constructed. The results indicate that in the daily routine of the psychiatric inpatient setting different forms of decision making are used, even though health professionals advocate shared decision-making as the favored approach. Patients also have varying expectations and perceptions regarding shared decision-making, which is reflected in the degree of their involvement.

Conclusion: Shared decision-making could be enhanced in the future by a more proactive communication style and the proactive provision of information on the part of health professionals, in order to enhance patient participation in decision-making.

Innovation: The study identified different forms of decision-making within the acute psychiatric inpatient setting, highlighting the gap between the advocated SDM approach and its practical implementation. This divergence is a key aspect, as it underlines the complexity of implementing SDM in real clinical settings.

Keywords: Case study; Interprofessional collaboration; Mental health services; Psychiatric inpatient setting; Shared decision-making.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Overview of data collection per case.
Fig. 2
Fig. 2
Patient profiles on a two-dimensional characteristics' framework.
Fig. 3
Fig. 3
Different forms of decision making in the psychiatric inpatient setting.
See this image and copyright information in PMC

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