当前位置： SCI文献检索 > JOURNAL OF EVALUATION IN CLINICAL PRACTICE期刊下所有文献 > Validating a conceptual model for an inter-professional approach to shared decision making: a mixed methods study.

Validating a conceptual model for an inter-professional approach to shared decision making: a mixed methods study.

Abstract：

RATIONALE, AIMS AND OBJECTIVES:Following increased interest in having inter-professional (IP) health care teams engage patients in decision making, we developed a conceptual model for an IP approach to shared decision making (SDM) in primary care. We assessed the validity of the model with stakeholders in Canada. METHODS:In 15 individual interviews and 7 group interviews with 79 stakeholders, we asked them to: (1) propose changes to the IP-SDM model; (2) identify barriers and facilitators to the model's implementation in clinical practice; and (3) assess the model using a theory appraisal questionnaire. We performed a thematic analysis of the transcripts and a descriptive analysis of the questionnaires. RESULTS:Stakeholders suggested placing the patient at its centre; extending the concept of family to include significant others; clarifying outcomes; highlighting the concept of time; merging the micro, meso and macro levels in one figure; and recognizing the influence of the environment and emotions. The most common barriers identified were time constraints, insufficient resources and an imbalance of power among health professionals. The most common facilitators were education and training in inter-professionalism and SDM, motivation to achieve an IP approach to SDM, and mutual knowledge and understanding of disciplinary roles. Most stakeholders considered that the concepts and relationships between the concepts were clear and rated the model as logical, testable, having clear schematic representation, and being relevant to inter-professional collaboration, SDM and primary care. CONCLUSIONS:Stakeholders validated the new IP-SDM model for primary care settings and proposed few modifications. Future research should assess if the model helps implement SDM in IP clinical practice.

journal_name

J Eval Clin Pract

journal_title

Journal of evaluation in clinical practice

authors

Légaré F,Stacey D,Gagnon S,Dunn S,Pluye P,Frosch D,Kryworuchko J,Elwyn G,Gagnon MP,Graham ID

doi

10.1111/j.1365-2753.2010.01515.x

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

554-64

issue

eissn

1356-1294

issn

1365-2753

pii

JEP1515

journal_volume

pub_type

杂志文章

在线工具

Validating a conceptual model for an inter-professional approach to shared decision making: a mixed methods study.