Abstract
BackgroundShared decision making (SDM) is a patient-centered nursing concept that emphasizes the autonomy of patients. SDM is a co-operative process that involves information exchange and communication between medical staff and patients for making treatment decisions. In this study, we explored the experiences of clinical nursing staff participating in SDM.MethodsThis study adopted a qualitative research design. Semistructured interviews were conducted with 21 nurses at a medical center in northern Taiwan. All interview recordings were transcribed verbatim. Content analysis was performed to analyze the data.ResultsThe findings yielded the following three themes covering seven categories: knowledge regarding SDM, trigger discussion and coordination, and respect of sociocultural factors.ConclusionsThe results of this study describe the experiences of clinical nursing staff participating in SDM and can be used as a reference for nursing education and nursing administrative supervisors wishing to plan and enhance professional nursing SDM in nursing education.
Highlights
Shared decision making (SDM) is a patient-centered nursing concept that emphasizes the autonomy of patients
Nursing staff are the essential members of a medical team; their participation in the SDM process as well as their understanding of basic concepts and principles related to the decision-making process are crucial [9, 12]
This study explored the SDM experiences of clinical nurses to ensure that appropriate medical care is provided to patients and improve clinical care quality in the future
Summary
Shared decision making (SDM) is a patient-centered nursing concept that emphasizes the autonomy of patients. SDM is a co-operative process that involves information exchange and communication between medical staff and patients for making treatment decisions. SDM is a patient-centered medical care service model that emphasizes the provision of highquality patient-based clinical care and focuses on improving patient satisfaction [2, 3]. SDM is defined as “an approach where clinicians and patients share the best available evidence when faced with the task of making decisions, and where patients are supported to consider options, to achieve informed preferences” [4]. Nursing staff are the essential members of a medical team; their participation in the SDM process as well as their understanding of basic concepts and principles related to the decision-making process are crucial [9, 12]. Tariman et al [13] investigated the role of nursing staff in the SDM process for cancer care and reported that nursing staff play different roles under differing time points and environments in the cancer SDM process; these roles include health educator, spokesperson, data collector, symptom and side-effect handler, information sharer, and psychological supporter
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