Barriers and facilitators to shared decision-making in neonatal medicine: A systematic review and thematic synthesis of parental perceptions

2021 ◽  
Author(s):  
Olivia Parish ◽  
Denitza Williams ◽  
David Odd ◽  
Natalie Joseph-Williams
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Parental Perceptions ◽  
Barriers And Facilitators ◽  
Shared Decision ◽  
Thematic Synthesis

Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature

2019 ◽  
Vol 27 (5) ◽  
pp. 1613-1637 ◽  
Author(s):  
Jordan R. Covvey ◽  
Khalid M. Kamal ◽  
Erin E. Gorse ◽  
Zumi Mehta ◽  
Trupti Dhumal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Barriers And Facilitators ◽  
Shared Decision ◽  
Review Of The Literature

scholarly journals Barriers and facilitators of pediatric shared decision-making: a systematic review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Laura Boland ◽  
Ian D. Graham ◽  
France Légaré ◽  
Krystina Lewis ◽  
Janet Jull ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Barriers And Facilitators ◽  
Shared Decision

scholarly journals Barriers and facilitators to shared decision-making in hospitals from policy to practice: a systematic review

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Alex Waddell ◽  
Alyse Lennox ◽  
Gerri Spassova ◽  
Peter Bragge
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Tertiary Care ◽  
Barriers And Facilitators ◽  
System Level ◽  
Routine Practice ◽  
Shared Decision ◽  
Link Type ◽  
Wide Range

Abstract Background Involving patients in their healthcare using shared decision-making (SDM) is promoted through policy and research, yet its implementation in routine practice remains slow. Research into SDM has stemmed from primary and secondary care contexts, and research into the implementation of SDM in tertiary care settings has not been systematically reviewed. Furthermore, perspectives on SDM beyond those of patients and their treating clinicians may add insights into the implementation of SDM. This systematic review aimed to review literature exploring barriers and facilitators to implementing SDM in hospital settings from multiple stakeholder perspectives. Methods The search strategy focused on peer-reviewed qualitative studies with the primary aim of identifying barriers and facilitators to implementing SDM in hospital (tertiary care) settings. Studies from the perspective of patients, clinicians, health service administrators, and decision makers, government policy makers, and other stakeholders (for example researchers) were eligible for inclusion. Reported qualitative results were mapped to the Theoretical Domains Framework (TDF) to identify behavioural barriers and facilitators to SDM. Results Titles and abstracts of 8724 articles were screened and 520 were reviewed in full text. Fourteen articles met inclusion criteria. Most studies (n = 12) were conducted in the last four years; only four reported perspectives in addition to the patient-clinician dyad. In mapping results to the TDF, the dominant themes were Environmental Context and Resources, Social/Professional Role and Identity, Knowledge and Skills, and Beliefs about Capabilities. A wide range of barriers and facilitators across individual, organisational, and system levels were reported. Barriers specific to the hospital setting included noisy and busy ward environments and a lack of private spaces in which to conduct SDM conversations. Conclusions SDM implementation research in hospital settings appears to be a young field. Future research should build on studies examining perspectives beyond the clinician-patient dyad and further consider the role of organisational- and system-level factors. Organisations wishing to implement SDM in hospital settings should also consider factors specific to tertiary care settings in addition to addressing their organisational and individual SDM needs. Trial Registration The protocol for the review is registered on the Open Science Framework and can be found at https://osf.io/da645/, DOI 10.17605/OSF.IO/DA645.

scholarly journals People’s Experience of Shared Decision Making in Musculoskeletal Physiotherapy: A Systematic Review and Thematic Synthesis

2022 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
Jessica Grenfell ◽  
Andrew Soundy
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Mutual Trust ◽  
Quality Appraisal ◽  
Thematic Synthesis ◽  
Analysis And Synthesis ◽  
Study Characteristics ◽  
Core Conditions

(1) Shared decision making (SDM) has been advocated as a way of improving prudency in healthcare and has been linked to self-efficacy and empowerment of service users. The evaluation of its use in musculoskeletal (MSK) physiotherapy has been vague, but articles suggest that trust and communication are integral. (2) ENTREQ guidelines informed this systematic review and thematic synthesis. PRISMA recommendations steered a systematic literature search of AHMED, CINAHL, MEDLNE, EMBASE and Cochrane databases from inception to September 2021. COREQ was used for quality appraisal of articles alongside critical discussions. Analysis and synthesis included five stages: outlining study characteristics, coding of data, development of descriptive themes, development of analytical themes and integration and refinement. The review aim was to explore people’s experiences of SDM in MSK physiotherapy and to inform our understanding of the conditions needed for successful SDM. (3) Out of 1508 studies, 9 articles were included. Four main themes (trust, communication, decision preferences and decision ability) demonstrated that the majority of people want to participate in decision-making. As described in the capacity and capability model, three core conditions were needed to facilitate someone’s’ ability to participate. (4) People want to be involved in SDM in MSK physiotherapy. For successful SDM, physiotherapists should look to develop mutual trust, utilise two-way communication and share power.

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