Cargando…
Practitioners’ views on shared decision-making implementation: A qualitative study
INTRODUCTION: Shared decision-making (SDM) refers to the collaboration between patients and their healthcare providers to make clinical decisions based on evidence and patient preferences, often supported by patient decision aids (PDAs). This study explored practitioner experiences of SDM in a conte...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584754/ https://www.ncbi.nlm.nih.gov/pubmed/34762683 http://dx.doi.org/10.1371/journal.pone.0259844 |
_version_ | 1784597525971337216 |
---|---|
author | Ankolekar, Anshu Dahl Steffensen, Karina Olling, Karina Dekker, Andre Wee, Leonard Roumen, Cheryl Hasannejadasl, Hajar Fijten, Rianne |
author_facet | Ankolekar, Anshu Dahl Steffensen, Karina Olling, Karina Dekker, Andre Wee, Leonard Roumen, Cheryl Hasannejadasl, Hajar Fijten, Rianne |
author_sort | Ankolekar, Anshu |
collection | PubMed |
description | INTRODUCTION: Shared decision-making (SDM) refers to the collaboration between patients and their healthcare providers to make clinical decisions based on evidence and patient preferences, often supported by patient decision aids (PDAs). This study explored practitioner experiences of SDM in a context where SDM has been successfully implemented. Specifically, we focused on practitioners’ perceptions of SDM as a paradigm, factors influencing implementation success, and outcomes. METHODS: We used a qualitative approach to examine the experiences and perceptions of 10 Danish practitioners at a cancer hospital experienced in SDM implementation. A semi-structured interview format was used and interviews were audio-recorded and transcribed. Data was analyzed through thematic analysis. RESULTS: Prior to SDM implementation, participants had a range of attitudes from skeptical to receptive. Those with more direct long-term contact with patients (such as nurses) were more positive about the need for SDM. We identified four main factors that influenced SDM implementation success: raising awareness of SDM behaviors among clinicians through concrete measurements, supporting the formation of new habits through reinforcement mechanisms, increasing the flexibility of PDA delivery, and strong leadership. According to our participants, these factors were instrumental in overcoming initial skepticism and solidifying new SDM behaviors. Improvements to the clinical process were reported. Sustaining and transferring the knowledge gained to other contexts will require adapting measurement tools. CONCLUSIONS: Applying SDM in clinical practice represents a major shift in mindset for clinicians. Designing SDM initiatives with an understanding of the underlying behavioral mechanisms may increase the probability of successful and sustained implementation. |
format | Online Article Text |
id | pubmed-8584754 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-85847542021-11-12 Practitioners’ views on shared decision-making implementation: A qualitative study Ankolekar, Anshu Dahl Steffensen, Karina Olling, Karina Dekker, Andre Wee, Leonard Roumen, Cheryl Hasannejadasl, Hajar Fijten, Rianne PLoS One Research Article INTRODUCTION: Shared decision-making (SDM) refers to the collaboration between patients and their healthcare providers to make clinical decisions based on evidence and patient preferences, often supported by patient decision aids (PDAs). This study explored practitioner experiences of SDM in a context where SDM has been successfully implemented. Specifically, we focused on practitioners’ perceptions of SDM as a paradigm, factors influencing implementation success, and outcomes. METHODS: We used a qualitative approach to examine the experiences and perceptions of 10 Danish practitioners at a cancer hospital experienced in SDM implementation. A semi-structured interview format was used and interviews were audio-recorded and transcribed. Data was analyzed through thematic analysis. RESULTS: Prior to SDM implementation, participants had a range of attitudes from skeptical to receptive. Those with more direct long-term contact with patients (such as nurses) were more positive about the need for SDM. We identified four main factors that influenced SDM implementation success: raising awareness of SDM behaviors among clinicians through concrete measurements, supporting the formation of new habits through reinforcement mechanisms, increasing the flexibility of PDA delivery, and strong leadership. According to our participants, these factors were instrumental in overcoming initial skepticism and solidifying new SDM behaviors. Improvements to the clinical process were reported. Sustaining and transferring the knowledge gained to other contexts will require adapting measurement tools. CONCLUSIONS: Applying SDM in clinical practice represents a major shift in mindset for clinicians. Designing SDM initiatives with an understanding of the underlying behavioral mechanisms may increase the probability of successful and sustained implementation. Public Library of Science 2021-11-11 /pmc/articles/PMC8584754/ /pubmed/34762683 http://dx.doi.org/10.1371/journal.pone.0259844 Text en © 2021 Ankolekar et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Ankolekar, Anshu Dahl Steffensen, Karina Olling, Karina Dekker, Andre Wee, Leonard Roumen, Cheryl Hasannejadasl, Hajar Fijten, Rianne Practitioners’ views on shared decision-making implementation: A qualitative study |
title | Practitioners’ views on shared decision-making implementation: A qualitative study |
title_full | Practitioners’ views on shared decision-making implementation: A qualitative study |
title_fullStr | Practitioners’ views on shared decision-making implementation: A qualitative study |
title_full_unstemmed | Practitioners’ views on shared decision-making implementation: A qualitative study |
title_short | Practitioners’ views on shared decision-making implementation: A qualitative study |
title_sort | practitioners’ views on shared decision-making implementation: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584754/ https://www.ncbi.nlm.nih.gov/pubmed/34762683 http://dx.doi.org/10.1371/journal.pone.0259844 |
work_keys_str_mv | AT ankolekaranshu practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT dahlsteffensenkarina practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT ollingkarina practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT dekkerandre practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT weeleonard practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT roumencheryl practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT hasannejadaslhajar practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT fijtenrianne practitionersviewsonshareddecisionmakingimplementationaqualitativestudy |