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Shared decision-making at the end of life: A focus group study exploring the perceptions and experiences of multi-disciplinary healthcare professionals working in the home setting.
- Source :
- Palliative Medicine; Jan2018, Vol. 32 Issue 1, p123-132, 10p, 1 Diagram, 4 Charts
- Publication Year :
- 2018
-
Abstract
- Background: Globally recommended in healthcare policy, Shared Decision-Making is also central to international policy promoting community palliative care. Yet realities of implementation by multi-disciplinary healthcare professionals who provide end-of-life care in the home are unclear. Aim: To explore multi-disciplinary healthcare professionals' perceptions and experiences of Shared Decision-Making at end of life in the home. Design: Qualitative design using focus groups, transcribed verbatim and analysed thematically. Setting/participants: A total of 43 participants, from multi-disciplinary community-based services in one region of the United Kingdom, were recruited. Results: While the rhetoric of Shared Decision-Making was recognised, its implementation was impacted by several interconnecting factors, including (1) conceptual confusion regarding Shared Decision-Making, (2) uncertainty in the process and (3) organisational factors which impeded Shared Decision-Making. Conclusion: Multiple interacting factors influence implementation of Shared Decision-Making by professionals working in complex community settings at the end of life. Moving from rhetoric to reality requires future work exploring the realities of Shared Decision-Making practice at individual, process and systems levels. [ABSTRACT FROM AUTHOR]
- Subjects :
- FOCUS groups
HEALTH care teams
HOME care services
TERMINAL care
THEMATIC analysis
Subjects
Details
- Language :
- English
- ISSN :
- 02692163
- Volume :
- 32
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Palliative Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 127168164
- Full Text :
- https://doi.org/10.1177/0269216317734434