Patient participation in shared decision-making in palliative care - an integrative review

Show full item record



Permalink

http://hdl.handle.net/10138/340107

Citation

Kuosmanen , L , Hupli , M , Ahtiluoto , S & Haavisto , E 2021 , ' Patient participation in shared decision-making in palliative care - an integrative review ' , Journal of Clinical Nursing , vol. 30 , no. 23-24 , pp. 3415-3428 . https://doi.org/10.1111/jocn.15866

Title: Patient participation in shared decision-making in palliative care - an integrative review
Author: Kuosmanen, Lotta; Hupli, Maija; Ahtiluoto, Satu; Haavisto, Elina
Contributor organization: Clinicum
Helsinki University Hospital Area
HUS Comprehensive Cancer Center
Department of Oncology
Date: 2021-12
Language: eng
Number of pages: 14
Belongs to series: Journal of Clinical Nursing
ISSN: 0962-1067
DOI: https://doi.org/10.1111/jocn.15866
URI: http://hdl.handle.net/10138/340107
Abstract: Background Shared decision-making is a process where the decisions regarding patients' care are done in collaboration with the patient, the patient's family and a healthcare professional or an interdisciplinary team. Shared decision-making is considered to be a part of patient centred care, and it enables patient autonomy which is a cornerstone of palliative care. In the past, research on the experiences of palliative care patients' participation in shared decision-making involving a nurse has been limited as the focus has mainly been on specific medical interventions, rather than holistic palliative care. Objectives To synthesise research findings on patient participation in shared decision-making in palliative care. Research design An integrative literature review. Methods The literature search was conducted by searching computerised databases (CINAHL, PubMed, PsychINFO and COCHRANE). The search resulted in 12 articles. The quality of the included articles was evaluated with JBI checklist, and the data analysis was done using inductive content analysis. Reporting was done according to a PRISMA checklist. Findings Patients do participate in shared decision-making and desire to participate in everyday nursing care decisions, treatment-related medical decisions and end-of-life decisions. The prerequisites for patient participation in shared decision-making are interdisciplinary teamwork, open communication, good patient-healthcare professional relationship, a favourable environment and mutual information. Conclusion Palliative care patients do participate and desire to participate in decisions that cover a much broader range of topics than just medical interventions and this should be addressed in future research and in practise. The main responsibility for successful patient participation in shared decision-making lies with the healthcare professionals and the organisations providing palliative care. There is a need to conduct more research from the patient's perspective and explore the meaning of participating in shared decision-making from the patient's point of view.
Subject: CANCER-PATIENTS
EMPOWERMENT
END
EXPERIENCES
ILLNESS
LIFE
MODEL
PREFERENCES
end&#8208
life decision&#8208
making
nursing
of&#8208
palliative care
patient care team
patient participation
teamwork
3122 Cancers
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


Files in this item

Total number of downloads: Loading...

Files Size Format View
Journal_of_Clin ... _in_palliative_care_an.pdf 968.2Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record