Practitioners' views on shared decision-making implementation: A qualitative study.

<h4>Introduction</h4>Shared decision-making (SDM) refers to the collaboration between patients and their healthcare providers to make clinical decisions based on evidence and patient preferences, often supported by patient decision aids (PDAs). This study explored practitioner experience...

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Autores principales:	Anshu Ankolekar, Karina Dahl Steffensen, Karina Olling, Andre Dekker, Leonard Wee, Cheryl Roumen, Hajar Hasannejadasl, Rianne Fijten
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b44d88a8023b486fb251729416148636
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spelling	oai:doaj.org-article:b44d88a8023b486fb2517294161486362021-12-02T20:07:36ZPractitioners' views on shared decision-making implementation: A qualitative study.1932-620310.1371/journal.pone.0259844https://doaj.org/article/b44d88a8023b486fb2517294161486362021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259844https://doaj.org/toc/1932-6203<h4>Introduction</h4>Shared decision-making (SDM) refers to the collaboration between patients and their healthcare providers to make clinical decisions based on evidence and patient preferences, often supported by patient decision aids (PDAs). This study explored practitioner experiences of SDM in a context where SDM has been successfully implemented. Specifically, we focused on practitioners' perceptions of SDM as a paradigm, factors influencing implementation success, and outcomes.<h4>Methods</h4>We used a qualitative approach to examine the experiences and perceptions of 10 Danish practitioners at a cancer hospital experienced in SDM implementation. A semi-structured interview format was used and interviews were audio-recorded and transcribed. Data was analyzed through thematic analysis.<h4>Results</h4>Prior to SDM implementation, participants had a range of attitudes from skeptical to receptive. Those with more direct long-term contact with patients (such as nurses) were more positive about the need for SDM. We identified four main factors that influenced SDM implementation success: raising awareness of SDM behaviors among clinicians through concrete measurements, supporting the formation of new habits through reinforcement mechanisms, increasing the flexibility of PDA delivery, and strong leadership. According to our participants, these factors were instrumental in overcoming initial skepticism and solidifying new SDM behaviors. Improvements to the clinical process were reported. Sustaining and transferring the knowledge gained to other contexts will require adapting measurement tools.<h4>Conclusions</h4>Applying SDM in clinical practice represents a major shift in mindset for clinicians. Designing SDM initiatives with an understanding of the underlying behavioral mechanisms may increase the probability of successful and sustained implementation.Anshu AnkolekarKarina Dahl SteffensenKarina OllingAndre DekkerLeonard WeeCheryl RoumenHajar HasannejadaslRianne FijtenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0259844 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anshu Ankolekar Karina Dahl Steffensen Karina Olling Andre Dekker Leonard Wee Cheryl Roumen Hajar Hasannejadasl Rianne Fijten Practitioners' views on shared decision-making implementation: A qualitative study.
description	<h4>Introduction</h4>Shared decision-making (SDM) refers to the collaboration between patients and their healthcare providers to make clinical decisions based on evidence and patient preferences, often supported by patient decision aids (PDAs). This study explored practitioner experiences of SDM in a context where SDM has been successfully implemented. Specifically, we focused on practitioners' perceptions of SDM as a paradigm, factors influencing implementation success, and outcomes.<h4>Methods</h4>We used a qualitative approach to examine the experiences and perceptions of 10 Danish practitioners at a cancer hospital experienced in SDM implementation. A semi-structured interview format was used and interviews were audio-recorded and transcribed. Data was analyzed through thematic analysis.<h4>Results</h4>Prior to SDM implementation, participants had a range of attitudes from skeptical to receptive. Those with more direct long-term contact with patients (such as nurses) were more positive about the need for SDM. We identified four main factors that influenced SDM implementation success: raising awareness of SDM behaviors among clinicians through concrete measurements, supporting the formation of new habits through reinforcement mechanisms, increasing the flexibility of PDA delivery, and strong leadership. According to our participants, these factors were instrumental in overcoming initial skepticism and solidifying new SDM behaviors. Improvements to the clinical process were reported. Sustaining and transferring the knowledge gained to other contexts will require adapting measurement tools.<h4>Conclusions</h4>Applying SDM in clinical practice represents a major shift in mindset for clinicians. Designing SDM initiatives with an understanding of the underlying behavioral mechanisms may increase the probability of successful and sustained implementation.
format	article
author	Anshu Ankolekar Karina Dahl Steffensen Karina Olling Andre Dekker Leonard Wee Cheryl Roumen Hajar Hasannejadasl Rianne Fijten
author_facet	Anshu Ankolekar Karina Dahl Steffensen Karina Olling Andre Dekker Leonard Wee Cheryl Roumen Hajar Hasannejadasl Rianne Fijten
author_sort	Anshu Ankolekar
title	Practitioners' views on shared decision-making implementation: A qualitative study.
title_short	Practitioners' views on shared decision-making implementation: A qualitative study.
title_full	Practitioners' views on shared decision-making implementation: A qualitative study.
title_fullStr	Practitioners' views on shared decision-making implementation: A qualitative study.
title_full_unstemmed	Practitioners' views on shared decision-making implementation: A qualitative study.
title_sort	practitioners' views on shared decision-making implementation: a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b44d88a8023b486fb251729416148636
work_keys_str_mv	AT anshuankolekar practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT karinadahlsteffensen practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT karinaolling practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT andredekker practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT leonardwee practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT cherylroumen practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT hajarhasannejadasl practitionersviewsonshareddecisionmakingimplementationaqualitativestudy AT riannefijten practitionersviewsonshareddecisionmakingimplementationaqualitativestudy
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Practitioners' views on shared decision-making implementation: A qualitative study.

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