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Shared decision-making at the end of life: a focus group study exploring the perceptions and experiences of multi-disciplinary healthcare professionals working in the home setting.

Brogan, Paula, Hasson, Felicity and McIlfatrick, Sonja (2017) Shared decision-making at the end of life: a focus group study exploring the perceptions and experiences of multi-disciplinary healthcare professionals working in the home setting. Palliative Medicine, na . pp. 1-10. [Journal article]

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URL: http://journals.sagepub.com/eprint/DsY8Pn6aa2GgFaMgEesi/full

DOI: 10.1177/0269216317734434

Abstract

Background Globally recommended in healthcare policy, Shared Decision- Making (SDM) is also central to international policy promoting community palliative care. Yet realities of implementation by multi-disciplinary healthcare professionals who provide end of life care in the home are unclear. Aim To explore multi-disciplinary healthcare professionals perceptions and experiences of Shared Decision-Making at end of life in the home.Design Qualitative design using focus groups, transcribed verbatim and analysed thematically.Setting/Participants A total of 43 participants, from multidisciplinary community-based services in one region of the UK were recruited.Results Whilst the rhetoric of Shared Decision-Making was recognised, its implementation was impacted by several interconnecting factors, including 1) conceptual confusion regarding Shared Decision-Making, 2) uncertainty in the process and 3) organisational factors which impeded Shared Decision-Making. Conclusions Multiple interacting factors influence implementation of Shared decision-making by professionals working in complex community settings at the end of life. Moving from rhetoric to reality, requires future work exploring the realities of Shared Decision-Making practice at individual, process and systems levels.

Item Type:Journal article
Keywords:Shared decision-making, decision-making, palliative care, end-of-life care, home care, community, multidisciplinary, focus group.
Faculties and Schools:Faculty of Arts > School of Media, Film & Journalism
Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Arts
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
Institute of Nursing and Health Research > Person-centred Practice Research Centre
ID Code:38840
Deposited By: Dr Paula Brogan
Deposited On:31 Oct 2017 09:37
Last Modified:31 Oct 2017 09:37

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