Conceptual understanding and applicability of shared decision-making in psychiatric care: An integrative review

Gurtner, Caroline; Schols, Jos M.G.A.; Lohrmann, Christa; Halfens, Ruud J.G.; Hahn, Sabine (2020). Conceptual understanding and applicability of shared decision-making in psychiatric care: An integrative review Journal of Psychiatric and Mental Health Nursing, 28(4), pp. 531-548. Wiley-Blackwell 10.1111/jpm.12712

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INTRODUCTION: Patient involvement in decisions regarding treatment has increasingly been supported in health care and therefore shared decision making (SDM), as an informative and participative approach, is promoted in the scientific literature. AIM: To review the current state of research regarding the conceptual understanding and implementation of SDM in psychiatric clinical practice. METHOD: An integrative review that included empirical, theoretical and conceptual research published between 1997 and 2019 was conducted. For this, five health-related databases were searched. RESULTS: Fourteen articles were included in the synthesis. No universal conceptual understanding of SDM regarding psychiatric care could be identified, although several articles highlighted the link with other concepts, such as autonomy and patient-centeredness. Furthermore, four additional key themes with relevance for the successful implementation of SDM in clinical practice were determined. DISCUSSION: SDM refers to a process and is usually not limited to a single consultation. SDM shows the potential to enhance patient-centered and recovery-oriented care. A collaborative approach including multiple health professionals, peer workers and family members is required. IMPLICATIONS FOR PRACTICE: The process of SDM should be made visible for all parties involved. Nurses in particular could play a key role by collecting information regarding patient's preferences and by providing support.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Nursing School of Health Professions > Nursing > Innovation in the Field of Mental Health and Psychiatric Care
Name:	Gurtner, Caroline0000-0001-7699-5655; Schols, Jos M.G.A.; Lohrmann, Christa; Halfens, Ruud J.G. and Hahn, Sabine0000-0002-2697-2014
ISSN:	1351-0126
ISBN:	1365-2850 (Electronic) 1351-0126 (Linking)
Publisher:	Wiley-Blackwell
Projects:	[UNSPECIFIED] L.007483-42-PFLW Kleine Mandate Pflege
Language:	English
Submitter:	Sabine Hahn
Date Deposited:	16 Dec 2020 09:43
Last Modified:	02 Nov 2022 09:40
Publisher DOI:	10.1111/jpm.12712
Related URLs:	Publisher
PubMed ID:	33191536
Additional Information:	Notes: Gurtner, Caroline Schols, Jos M G A Lohrmann, Christa Halfens, Ruud Hahn, Sabine eng Review England J Psychiatr Ment Health Nurs. 2020 Nov 15. doi: 10.1111/jpm.12712. Custom 1: 2020/11/17 Date: 2020
Uncontrolled Keywords:	Integrative review health professionals mental health nursing shared decision making
ARBOR DOI:	10.24451/arbor.13459
URI:	https://arbor.bfh.ch/id/eprint/13459