Being in a space of sharing decision‐making for dignified mental care
Accessible summary What is known on the subject? Several studies describe barriers and facilitators for implementing shared decision‐making in mental care, yet a deeper understanding of the meaning of shared decision‐making in this context is lacking. Shared decision‐making is aimed at facilitating...
Gespeichert in:
| Veröffentlicht in: | Journal of psychiatric and mental health nursing 2019-11, Vol.26 (9-10), p.368-376 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 376 |
|---|---|
| container_issue | 9-10 |
| container_start_page | 368 |
| container_title | Journal of psychiatric and mental health nursing |
| container_volume | 26 |
| creator | Beyene, Lise Sæstad Severinsson, Elisabeth Hansen, Britt Sætre Rørtveit, Kristine |
| description | Accessible summary
What is known on the subject?
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care, yet a deeper understanding of the meaning of shared decision‐making in this context is lacking.
Shared decision‐making is aimed at facilitating patients' active participation in their care.
Mental care is intended to empower the patients by increasing their responsibility and self‐awareness and helping them to use their own resources.
Too much focus on the patients' independence, responsibility and choice may hinder the patients getting the help they need.
What this paper adds to existing knowledge?
The meaning of SDM can be understood as a continuous relational process between the patients and MHCPs in search of dignified care.
Practising shared decision‐making is a challenging process which requires the MHCPs to possess high professional competence.
What are the implications for practice?
Mental healthcare professionals should be conscious of their own role in the asymmetrical power relationship in decision‐making and use their professional competence for their patients' benefit.
Clinical supervision can be a tool for developing professional competence and is considered important when assisting mental healthcare professionals practising shared decision‐making for dignified care.
Introduction
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care. However, a deeper understanding of the meaning of shared decision‐making in this context is lacking. Shared decision‐making is aimed at facilitating patients' active participation in their care by placing them at the centre of care. Too much focus on the patients' autonomy may hinder them getting the help they need. A comprehensive understanding of shared decision‐making is needed for its implementation.
Aim/research question
To interpret the meaning of shared decision‐making in mental care as perceived by patients and mental healthcare professionals. The research question was: What is the meaning of shared decision‐making in mental care?
Method
A hermeneutic inductive design with a thematic interpretative analysis of data was performed from in‐depth interviews with 16 patients and multistage focus group interviews with eight mental healthcare professionals.
Results
The overall theme being in a space of sharing decision‐making for dignified mental care was described by the three themes engaging in a mental ro |
| doi_str_mv | 10.1111/jpm.12548 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2306503156</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2328309104</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3888-ec4f3ad1a1c2e5e709e0482eb723d44fe78461916584836bec41f7ecbff69f863</originalsourceid><addsrcrecordid>eNp10LtOwzAUBmALgWgpDLwAisQCQ1pfE2eECgoIBAPMkeMcF5dcit0IdeMReEaehIQUBiS8HOvo06-jH6FDgsekfZPFshwTKrjcQkPCIhFSKfB29xckxIRGA7Tn_QJjzDnDu2jACONUxMkQzc7BVvPAVoEK_FJpCGoT-Gflum0O2npbV5_vH6V66TamdkFu55U1FvKghGqlikArB_tox6jCw8FmjtDT5cXj9Cq8vZ9dT89uQ82klCFobpjKiSKagoAYJ4C5pJDFlOWcG4glj0hCIiG5ZFHWemJi0JkxUWJkxEbopM9duvq1Ab9KS-s1FIWqoG58ShmOBGZEdPT4D13Ujava61pFJcMJwbxVp73SrvbegUmXzpbKrVOC067dtG03_W63tUebxCYrIf-VP3W2YNKDN1vA-v-k9Obhro_8AnAOgsE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2328309104</pqid></control><display><type>article</type><title>Being in a space of sharing decision‐making for dignified mental care</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Beyene, Lise Sæstad ; Severinsson, Elisabeth ; Hansen, Britt Sætre ; Rørtveit, Kristine</creator><creatorcontrib>Beyene, Lise Sæstad ; Severinsson, Elisabeth ; Hansen, Britt Sætre ; Rørtveit, Kristine</creatorcontrib><description>Accessible summary
What is known on the subject?
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care, yet a deeper understanding of the meaning of shared decision‐making in this context is lacking.
Shared decision‐making is aimed at facilitating patients' active participation in their care.
Mental care is intended to empower the patients by increasing their responsibility and self‐awareness and helping them to use their own resources.
Too much focus on the patients' independence, responsibility and choice may hinder the patients getting the help they need.
What this paper adds to existing knowledge?
The meaning of SDM can be understood as a continuous relational process between the patients and MHCPs in search of dignified care.
Practising shared decision‐making is a challenging process which requires the MHCPs to possess high professional competence.
What are the implications for practice?
Mental healthcare professionals should be conscious of their own role in the asymmetrical power relationship in decision‐making and use their professional competence for their patients' benefit.
Clinical supervision can be a tool for developing professional competence and is considered important when assisting mental healthcare professionals practising shared decision‐making for dignified care.
Introduction
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care. However, a deeper understanding of the meaning of shared decision‐making in this context is lacking. Shared decision‐making is aimed at facilitating patients' active participation in their care by placing them at the centre of care. Too much focus on the patients' autonomy may hinder them getting the help they need. A comprehensive understanding of shared decision‐making is needed for its implementation.
Aim/research question
To interpret the meaning of shared decision‐making in mental care as perceived by patients and mental healthcare professionals. The research question was: What is the meaning of shared decision‐making in mental care?
Method
A hermeneutic inductive design with a thematic interpretative analysis of data was performed from in‐depth interviews with 16 patients and multistage focus group interviews with eight mental healthcare professionals.
Results
The overall theme being in a space of sharing decision‐making for dignified mental care was described by the three themes engaging in a mental room of values and knowledge, relating in a process of awareness and comprehension and responding anchored in acknowledgement.
Discussion
Balancing the patients' need for assistance with autonomy, while safeguarding their dignity, is a challenging process requiring mental healthcare professionals to possess professional competence.
Implications for practice
Organized professional development of the carers' professional competence is important to facilitate shared decision‐making.</description><identifier>ISSN: 1351-0126</identifier><identifier>EISSN: 1365-2850</identifier><identifier>DOI: 10.1111/jpm.12548</identifier><identifier>PMID: 31342579</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Clinical decision making ; Collaboration ; Decision making ; Decision Making, Shared ; dignified care ; Empowerment ; hermeneutics ; Humans ; in‐depth interviews ; Medical personnel ; mental care ; Mental Disorders - therapy ; Mental health care ; Mental Health Services ; Nursing ; Patient Participation ; Patients ; Patients rights ; Professional-Patient Relations ; Qualitative Research ; shared decision‐making</subject><ispartof>Journal of psychiatric and mental health nursing, 2019-11, Vol.26 (9-10), p.368-376</ispartof><rights>2019 The Authors. published by John Wiley & Sons Ltd</rights><rights>2019 The Authors. Journal of Psychiatric and Mental Health Nursing published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2019 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-ec4f3ad1a1c2e5e709e0482eb723d44fe78461916584836bec41f7ecbff69f863</citedby><cites>FETCH-LOGICAL-c3888-ec4f3ad1a1c2e5e709e0482eb723d44fe78461916584836bec41f7ecbff69f863</cites><orcidid>0000-0002-4005-288X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpm.12548$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpm.12548$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31342579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beyene, Lise Sæstad</creatorcontrib><creatorcontrib>Severinsson, Elisabeth</creatorcontrib><creatorcontrib>Hansen, Britt Sætre</creatorcontrib><creatorcontrib>Rørtveit, Kristine</creatorcontrib><title>Being in a space of sharing decision‐making for dignified mental care</title><title>Journal of psychiatric and mental health nursing</title><addtitle>J Psychiatr Ment Health Nurs</addtitle><description>Accessible summary
What is known on the subject?
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care, yet a deeper understanding of the meaning of shared decision‐making in this context is lacking.
Shared decision‐making is aimed at facilitating patients' active participation in their care.
Mental care is intended to empower the patients by increasing their responsibility and self‐awareness and helping them to use their own resources.
Too much focus on the patients' independence, responsibility and choice may hinder the patients getting the help they need.
What this paper adds to existing knowledge?
The meaning of SDM can be understood as a continuous relational process between the patients and MHCPs in search of dignified care.
Practising shared decision‐making is a challenging process which requires the MHCPs to possess high professional competence.
What are the implications for practice?
Mental healthcare professionals should be conscious of their own role in the asymmetrical power relationship in decision‐making and use their professional competence for their patients' benefit.
Clinical supervision can be a tool for developing professional competence and is considered important when assisting mental healthcare professionals practising shared decision‐making for dignified care.
Introduction
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care. However, a deeper understanding of the meaning of shared decision‐making in this context is lacking. Shared decision‐making is aimed at facilitating patients' active participation in their care by placing them at the centre of care. Too much focus on the patients' autonomy may hinder them getting the help they need. A comprehensive understanding of shared decision‐making is needed for its implementation.
Aim/research question
To interpret the meaning of shared decision‐making in mental care as perceived by patients and mental healthcare professionals. The research question was: What is the meaning of shared decision‐making in mental care?
Method
A hermeneutic inductive design with a thematic interpretative analysis of data was performed from in‐depth interviews with 16 patients and multistage focus group interviews with eight mental healthcare professionals.
Results
The overall theme being in a space of sharing decision‐making for dignified mental care was described by the three themes engaging in a mental room of values and knowledge, relating in a process of awareness and comprehension and responding anchored in acknowledgement.
Discussion
Balancing the patients' need for assistance with autonomy, while safeguarding their dignity, is a challenging process requiring mental healthcare professionals to possess professional competence.
Implications for practice
Organized professional development of the carers' professional competence is important to facilitate shared decision‐making.</description><subject>Adult</subject><subject>Clinical decision making</subject><subject>Collaboration</subject><subject>Decision making</subject><subject>Decision Making, Shared</subject><subject>dignified care</subject><subject>Empowerment</subject><subject>hermeneutics</subject><subject>Humans</subject><subject>in‐depth interviews</subject><subject>Medical personnel</subject><subject>mental care</subject><subject>Mental Disorders - therapy</subject><subject>Mental health care</subject><subject>Mental Health Services</subject><subject>Nursing</subject><subject>Patient Participation</subject><subject>Patients</subject><subject>Patients rights</subject><subject>Professional-Patient Relations</subject><subject>Qualitative Research</subject><subject>shared decision‐making</subject><issn>1351-0126</issn><issn>1365-2850</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp10LtOwzAUBmALgWgpDLwAisQCQ1pfE2eECgoIBAPMkeMcF5dcit0IdeMReEaehIQUBiS8HOvo06-jH6FDgsekfZPFshwTKrjcQkPCIhFSKfB29xckxIRGA7Tn_QJjzDnDu2jACONUxMkQzc7BVvPAVoEK_FJpCGoT-Gflum0O2npbV5_vH6V66TamdkFu55U1FvKghGqlikArB_tox6jCw8FmjtDT5cXj9Cq8vZ9dT89uQ82klCFobpjKiSKagoAYJ4C5pJDFlOWcG4glj0hCIiG5ZFHWemJi0JkxUWJkxEbopM9duvq1Ab9KS-s1FIWqoG58ShmOBGZEdPT4D13Ujava61pFJcMJwbxVp73SrvbegUmXzpbKrVOC067dtG03_W63tUebxCYrIf-VP3W2YNKDN1vA-v-k9Obhro_8AnAOgsE</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Beyene, Lise Sæstad</creator><creator>Severinsson, Elisabeth</creator><creator>Hansen, Britt Sætre</creator><creator>Rørtveit, Kristine</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4005-288X</orcidid></search><sort><creationdate>201911</creationdate><title>Being in a space of sharing decision‐making for dignified mental care</title><author>Beyene, Lise Sæstad ; Severinsson, Elisabeth ; Hansen, Britt Sætre ; Rørtveit, Kristine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-ec4f3ad1a1c2e5e709e0482eb723d44fe78461916584836bec41f7ecbff69f863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Clinical decision making</topic><topic>Collaboration</topic><topic>Decision making</topic><topic>Decision Making, Shared</topic><topic>dignified care</topic><topic>Empowerment</topic><topic>hermeneutics</topic><topic>Humans</topic><topic>in‐depth interviews</topic><topic>Medical personnel</topic><topic>mental care</topic><topic>Mental Disorders - therapy</topic><topic>Mental health care</topic><topic>Mental Health Services</topic><topic>Nursing</topic><topic>Patient Participation</topic><topic>Patients</topic><topic>Patients rights</topic><topic>Professional-Patient Relations</topic><topic>Qualitative Research</topic><topic>shared decision‐making</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beyene, Lise Sæstad</creatorcontrib><creatorcontrib>Severinsson, Elisabeth</creatorcontrib><creatorcontrib>Hansen, Britt Sætre</creatorcontrib><creatorcontrib>Rørtveit, Kristine</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychiatric and mental health nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beyene, Lise Sæstad</au><au>Severinsson, Elisabeth</au><au>Hansen, Britt Sætre</au><au>Rørtveit, Kristine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Being in a space of sharing decision‐making for dignified mental care</atitle><jtitle>Journal of psychiatric and mental health nursing</jtitle><addtitle>J Psychiatr Ment Health Nurs</addtitle><date>2019-11</date><risdate>2019</risdate><volume>26</volume><issue>9-10</issue><spage>368</spage><epage>376</epage><pages>368-376</pages><issn>1351-0126</issn><eissn>1365-2850</eissn><abstract>Accessible summary
What is known on the subject?
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care, yet a deeper understanding of the meaning of shared decision‐making in this context is lacking.
Shared decision‐making is aimed at facilitating patients' active participation in their care.
Mental care is intended to empower the patients by increasing their responsibility and self‐awareness and helping them to use their own resources.
Too much focus on the patients' independence, responsibility and choice may hinder the patients getting the help they need.
What this paper adds to existing knowledge?
The meaning of SDM can be understood as a continuous relational process between the patients and MHCPs in search of dignified care.
Practising shared decision‐making is a challenging process which requires the MHCPs to possess high professional competence.
What are the implications for practice?
Mental healthcare professionals should be conscious of their own role in the asymmetrical power relationship in decision‐making and use their professional competence for their patients' benefit.
Clinical supervision can be a tool for developing professional competence and is considered important when assisting mental healthcare professionals practising shared decision‐making for dignified care.
Introduction
Several studies describe barriers and facilitators for implementing shared decision‐making in mental care. However, a deeper understanding of the meaning of shared decision‐making in this context is lacking. Shared decision‐making is aimed at facilitating patients' active participation in their care by placing them at the centre of care. Too much focus on the patients' autonomy may hinder them getting the help they need. A comprehensive understanding of shared decision‐making is needed for its implementation.
Aim/research question
To interpret the meaning of shared decision‐making in mental care as perceived by patients and mental healthcare professionals. The research question was: What is the meaning of shared decision‐making in mental care?
Method
A hermeneutic inductive design with a thematic interpretative analysis of data was performed from in‐depth interviews with 16 patients and multistage focus group interviews with eight mental healthcare professionals.
Results
The overall theme being in a space of sharing decision‐making for dignified mental care was described by the three themes engaging in a mental room of values and knowledge, relating in a process of awareness and comprehension and responding anchored in acknowledgement.
Discussion
Balancing the patients' need for assistance with autonomy, while safeguarding their dignity, is a challenging process requiring mental healthcare professionals to possess professional competence.
Implications for practice
Organized professional development of the carers' professional competence is important to facilitate shared decision‐making.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31342579</pmid><doi>10.1111/jpm.12548</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4005-288X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1351-0126 |
| ispartof | Journal of psychiatric and mental health nursing, 2019-11, Vol.26 (9-10), p.368-376 |
| issn | 1351-0126 1365-2850 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2306503156 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Clinical decision making Collaboration Decision making Decision Making, Shared dignified care Empowerment hermeneutics Humans in‐depth interviews Medical personnel mental care Mental Disorders - therapy Mental health care Mental Health Services Nursing Patient Participation Patients Patients rights Professional-Patient Relations Qualitative Research shared decision‐making |
| title | Being in a space of sharing decision‐making for dignified mental care |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T14%3A40%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Being%20in%20a%20space%20of%20sharing%20decision%E2%80%90making%20for%20dignified%20mental%20care&rft.jtitle=Journal%20of%20psychiatric%20and%20mental%20health%20nursing&rft.au=Beyene,%20Lise%20S%C3%A6stad&rft.date=2019-11&rft.volume=26&rft.issue=9-10&rft.spage=368&rft.epage=376&rft.pages=368-376&rft.issn=1351-0126&rft.eissn=1365-2850&rft_id=info:doi/10.1111/jpm.12548&rft_dat=%3Cproquest_cross%3E2328309104%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2328309104&rft_id=info:pmid/31342579&rfr_iscdi=true |