Alsulamy, N., Lee, A. orcid.org/0000-0002-9795-3793, Thokala, P. orcid.org/0000-0003-4122-2366 et al. (1 more author) (2020) What influences the implementation of shared decision making : an umbrella review. Patient Education and Counseling, 103 (12). pp. 2400-2407. ISSN 0738-3991
Abstract
Objective
To provide a cogent summation of the evidence base of the key barriers and facilitators to implementing shared decision making (SDM).
Methods
An umbrella review of existing reviews on SDM was adopted. Databases were searched from 1997 to December 2018. Studies were included if they performed a review of barriers and facilitators to SDM. Results: 7 eligible reviews were identified. The five themes identified were: patient factors, professional factors, environmental factors, relationship factors, and factors related to information provision. Lack of time was the main factor hindering the implementation of SDM. Encouragement and motivation of providers to use SDM was a significant enabler of SDM implementation.
Conclusions
The provision of time and resources are insufficient if not accompanied by efforts to support and motivate providers to use SDM.
Practice implications
Healthcare providers need to be educated on the importance of building a relationship with their patients. To enhance this relationship, physicians may need to improve their interaction skills. They need to be curious and explore their patients' preferences, listen to them and respect their opinions, explain options and outcomes, and encourage them to participate in the decision making.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 Elsevier. This is an author produced version of a paper subsequently published in Patient Education and Counseling. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Shared decision making; umbrella review; patient-centred care; barriers/facilitators; implementation |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 02 Sep 2020 08:44 |
Last Modified: | 24 May 2022 09:12 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.pec.2020.08.009 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:165035 |
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Filename: What Influences the Implementation of SDM.pdf
Licence: CC-BY-NC-ND 4.0