Woman-centered shared decision-making to promote contraceptive counseling: an integrative review

Abstract

Objective: To summarize scientific evidence on the woman-centered shared decision-making process for the promotion of contraceptive counseling. Methods: Integrative literature review with a sample of nine primary articles selected from MEDLINE via PubMed, CINAHL, Web of Science, Scopus, ScienceDirect, Embase, LILACS, and BDENF. Results: The study evidenced a comprehensive chain of segments for the development of the shared approach centered on women through counseling on contraception, fragmenting the evidence acquisition in relational elements for the choice implementation and continuation of the chosen method; systematization of consistent information for choice implementation and continuation of the method; and challenges for implementing shared decision-making. Final considerations: The process of woman shared decision-making centered during the consultation on contraception counseling favors the qualified choice and effective adherence to a contraceptive method based on the professional’s clinical vision adjusted to the woman’s preferences.

Shared decision‐making in scaling and root planing

“…Evidence-based practice, supported by best scientific literature and high professional standards, place professionals in a strong position to recommend best practices. [37][38][39][40][41] Historically, health care generally is moving away from a model where this is sufficient to determine the behaviour of both professionals and patients. This approach has been identified with paternalism: it is based exclusively on professional knowledge.…”

“…Shared decision‐making is one of several approaches that can be used to enhance oral care by optimizing the potential consistency between patients' and professionals' understanding of and acceptance of best approaches to care. Evidence‐based practice, supported by best scientific literature and high professional standards, place professionals in a strong position to recommend best practices 37–41 . Historically, health care generally is moving away from a model where this is sufficient to determine the behaviour of both professionals and patients.…”

Anticoncepção

“…O Programa de Assistência Integral à Saúde da Mulher, criado em 1983, constitui os princípios e diretrizes que orientam a forma como devem ser atendidas as demandas de saúde reprodutiva na esfera pública (COSTA, 1992). Nesse sentido, destaca-se a importância dos profissionais de saúde para a realização de um aconselhamento informado, de forma a fornecer instruções claras, sistematizadas e compreensíveis pelas pacientes, assim como o estabelecimento de uma relação de confiança entre as partes, para que haja adesão ao método escolhido (SILVA et al, 2022).…”