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Healthcare providers' intentions to engage in an interprofessional approach to shared decision-making in home care programs: A mixed methods study.
- Source :
- Journal of Interprofessional Care; May2013, Vol. 27 Issue 3, p214-222, 9p, 1 Diagram, 4 Charts
- Publication Year :
- 2013
-
Abstract
- In an interprofessional approach to shared decision-making (IP-SDM), an interprofessional team collaborates in identifying best options and helps patients determine their preferences, enabling them to take more control over the treatment plan. However, little is known about fostering IP-SDM in Canada's healthcare system. Therefore, we sought to evaluate health professionals' intentions to engage in IP-SDM in home care and explore the factors associated with this intention. A total of 272 eligible home care providers completed a questionnaire based on the theory of planned behavior. Eight managers and one healthcare team caring for the frail elderly were interviewed about possible barriers and facilitators. Analysis involved descriptive statistics and multivariate analysis of quantitative data and content analysis of qualitative data. On a scale of − 3 (strongly disagree) to +3 (strongly agree), the mean intention to engage in IP-SDM was positive (1.42 ± 1.39). The intention was influenced by the following theory-based determinants ( R<superscript>2</superscript> = 57%; p ≤ 0.002), i.e. cognitive attitude ( p < 0.001) subjective norm ( p < 0.0001) and perceived behavioral control ( p < 0.0001), with variations depending on the type of provider. Barriers included lack of time, poor team cohesion and high staff turnover. Facilitators included team cohesion and shared tools. Future programs implementing IP-SDM could address these barriers and facilitators. [ABSTRACT FROM AUTHOR]
- Subjects :
- FOCUS groups
HOME care services
INTERPROFESSIONAL relations
INTERVIEWING
RESEARCH methodology
MEDICAL personnel
PROBABILITY theory
QUESTIONNAIRES
REGRESSION analysis
RESEARCH funding
SELF-evaluation
STATISTICS
SURVEYS
PATIENT participation
DECISION making in clinical medicine
DATA analysis
DATA analysis software
DESCRIPTIVE statistics
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 13561820
- Volume :
- 27
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Interprofessional Care
- Publication Type :
- Academic Journal
- Accession number :
- 87372104
- Full Text :
- https://doi.org/10.3109/13561820.2013.763777