Involved, inputting or informing: “Shared” decision making in adult mental health care

Bradley, Eleanor; Green, Debra

doi:10.1111/hex.12601

Cited by 28 publications

(24 citation statements)

References 38 publications

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“…Both consumers and MHPs were also concerned that family involvement had some negative impact on consumer confidentiality and autonomy. In fact, family involvement was limited to providing informational and emotional support (Bradley & Green, ; Fisher et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…However, a randomized factorial survey showed no significant relationship between environmental factors and desire for SDM (Lukens et al, ). Ten of included studies, various stakeholders identified time constraint as the main barrier to SDM (Ali et al, ; Bradley & Green, ; Chong et al, ; Dahlqvist Jönsson et al, ; Fisher et al, , ; Giacco et al, ; Hamann et al, ; Matthias et al, ; Small et al, ; Younas et al, ). The availability of mental health services, especially continuity of care and inter‐professional collaboration, was also cited as an important facilitator to SDM (Chong et al, , ; Ehrlich & Dannapfel, ; Grim et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Generally, both consumers and MHPs expressed positive attitudes towards family involvement in SDM, and families preferred to be involved (Bradley & Green, 2018;Cohen et al, 2013;Eliacin et al, 2015a;Fisher et al, 2017aFisher et al, , 2017bGrim, Rosenberg, Svedberg, & Schön, 2016;Small et al, 2017;Souraya, Hanlon, & Asher, 2018;Stacey et al, 2016;Velligan et al, 2016). Families were essential to treatment decisions by facilitating communication between consumers and MHPs during consultations and implementation of treatment plans outside consultations (Cohen et al, 2013;Fisher et al, 2017aFisher et al, , 2017bGrim et al, 2016;Velligan et al, 2016).…”

Section: Involvement Of Families In Sdmmentioning

confidence: 99%

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Perceptions of shared decision‐making in severe mental illness: An integrative review

Huang¹,

Plummer

Lam

et al. 2019

Psychiatric Ment Health Nurs

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Accessible Summary What is known about shared decision‐making? There is increasing evidence of the positive impact of shared decision‐making on health outcomes. There has been little exploration of shared decision‐making regarding people diagnosed with serious mental illness from the perspectives of key stakeholders including consumers, families and mental health professionals. What this paper adds to existing knowledge? Consumers show variability in the preference for their involvement. Most stakeholders acknowledge the importance of family involvement. MHPs should share the responsibility and right to facilitate consumer involvement. There is bidirectional association between shared decision‐making and therapeutic relationships. The practice of shared decision‐making is related to multiple factors, and one main perceived barrier is time. The majority of studies are from Western countries. What are the implications for practice? Elicit consumer preferences and establish a collaborative therapeutic relationship. Encourage and engage families in treatment decision‐making. Inter‐professional collaboration should be integrated into shared decision‐making. It might require lengthier consultation time. Studies in non‐Western countries are needed to fully understand the impact of culture on shared decision‐making. AbstractIntroductionShared decision‐making (SDM) has been broadly advocated in health services and constitutes an important component of patient‐centred care and relationship‐based care.AimTo review available literature related to perceptions of key stakeholders about shared decision‐making in serious mental illness.MethodAn integrative review was conducted through a search of four online databases from January 2012 to June 2019.ResultsForty‐six articles were included. Six themes were generated from the data analysis: (a) dynamic preferences for SDM, (b) various stakeholders are rarely involved, (c) SDM is not routinely implemented, (d) multiple facilitators and barriers to SDM, (e) SDM and therapeutic relationships interact, (f) SDM has a promising impact on health outcomes.DiscussionOverall, most stakeholders have recognized the importance and flexibility of SDM in serious mental illness, although it is not routine in mental health service. Consumer preferences show variability in their involvement. Most stakeholders acknowledged the importance of family involvement to treatment decision‐making. There are several significant challenges to practice SDM. It may require extended consultation times and increasing empirical evidence regarding the SDM outcomes, as well as integrating inter‐professional collaboration into SDM. Most studies were conducted in Western culture.Implications for practiceMental health nurses should elicit consumer preferences and establish a collaborative therapeutic relationship. Encourage and engage families in treatment decision‐making when consumers prefer their families to be involved. Inter‐professional collaboration should be integrated into shared decision‐making. The...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Involvement Of Families In Sdmmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions of shared decision‐making in severe mental illness: An integrative review

Huang¹,

Plummer

Lam

et al. 2019

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…Taken together, the limited previous research suggests that caregiver involvement could be an integral part of and an enhancement to shared decision making (6)(7)(8)(9). However, apart from the REORDER study, none of these studies developed concrete recommendations for overcoming hurdles to caregiver involvement.…”

Section: Shared Decision Making and Caregiver Involvementmentioning

confidence: 99%

Why and How Family Caregivers Should Participate in Shared Decision Making in Mental Health

Hamann

Heres

2019

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Patient involvement (shared decision making) and caregiver involvement (family involvement, etc.) are mostly seen as different aspects of care, and efforts to integrate them are limited. This Open Forum posits that both approaches are critical and that caregiver involvement should always be considered during shared decision making, potentially as an integral component. The authors argue that the two

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“…Arendt's et al, (2013) report that in achieving collaborative approaches to care such as SDM between families and staff in RACF’s, cooperative harmonious relationships develop between families, staff and older people. Within this relationship, trust develops, and families feel included in the care journey of their older parent/s (Bradley & Green, 2018; Kornhaber et al, 2016). An ongoing collaborative relationship between staff and family has resulted in increased trust, the ability to reassess changing priorities and enhanced quality of care delivered to the older person (Schaller et al, 2016; Shay & Lafata, 2015).…”

Section: Introductionmentioning

confidence: 99%

What are the shared decision‐making experiences of adult children in regard to their parent/s’ health care in residential aged care facilities?

Monson

Hendricks

Sundin

2021

Int J Older People Nursing

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Aim This scoping literature review aimed to answer the question: What are the shared decision‐making experiences of adult children in regard to their parent/s’ health care in residential aged care facilities? Background Shared decision‐making has been an important patient‐centred approach to nursing care since the 1990s, yet it is becoming increasingly evident that it is still not the reality in aged care facilities fifty years on. Currently, it is not well understood how adult children participate in shared decision‐making and the types of decisions they are required to make. Design A review of original research papers using Kable, Pich and Maslin‐Prothero 12‐step systematic approach to documenting a search strategy. Method The researcher screened 597 articles from four databases, published in the English language, during the period 1985–2019. The researcher used the Mixed Methods Appraisal Tool version 2011 to determine the methodological quality of the included studies. The Joanna Briggs Institute QARI data tool was used to appraise the seven selected articles and thematically analyse findings, respectively. Results Four themes were highlighted: communication; staffing; being involved; and staff–family relationships. Despite these themes being apparent, families have limited opportunities to participate in shared health decision‐making in regard to their parents’ care. Conclusion The findings from this literature show how shared decision‐making is affected by the RACF environment. There is a need to find out and understand what is important from a family member's point of view to optimise shared decision‐making and nursing care of the family member in residential aged care settings. Relevance to clinical practice The limited findings specific to the SDM experiences of adult children of parents in RACFs in this review could help staff and RACFs to develop strategies and staff training to encourage and facilitate the implementation of shared health decision‐making with staff and families on older people's care.

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Involved, inputting or informing: “Shared” decision making in adult mental health care

Cited by 28 publications

References 38 publications

Perceptions of shared decision‐making in severe mental illness: An integrative review

Perceptions of shared decision‐making in severe mental illness: An integrative review

Why and How Family Caregivers Should Participate in Shared Decision Making in Mental Health

What are the shared decision‐making experiences of adult children in regard to their parent/s’ health care in residential aged care facilities?

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