Shared decision making models to inform an interprofessional perspective on decision making: a theory analysis. 2010

Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Ontario, Canada. dstacey@uottawa.ca

OBJECTIVE To conduct a theory analysis of shared decision making (SDM) conceptual models and determine the extent to which the models are relevant to interprofessional collaboration in clinical practice. METHODS Theory analysis of SDM models identified from three systematic reviews and personal files. Eligible publications: model of SDM; described concepts with relational statements. Two independently appraised models. RESULTS Of 54 publications, 15 unique models included 18 core concepts. Of two models that included more than one health professional collaborating with the patient, one included 3 of 10 elements of interprofessional collaboration and the other included 1 element. Fourteen were rated as having no logical fallacies, 10 as parsimonious, 7 had been empirically tested, 4 provided testable hypotheses, and 3 described the development process. CONCLUSIONS Most SDM models failed to encompass an interprofessional approach. Those that included at least two professionals met few of the elements of interprofessional collaboration and had limited description of SDM processes. Although models were rated as logically adequate and parsimonious, only half were tested and few were developed using an explicit process. CONCLUSIONS Appraisal of SDM models highlights the need for a model that is more inclusive of an interprofessional approach.

UI MeSH Term Description Entries
D007400 Interprofessional Relations The reciprocal interaction of two or more professional individuals. Etiquette, Medical,Medical Etiquette,Relations, Interprofessional
D008962 Models, Theoretical Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment. Experimental Model,Experimental Models,Mathematical Model,Model, Experimental,Models (Theoretical),Models, Experimental,Models, Theoretic,Theoretical Study,Mathematical Models,Model (Theoretical),Model, Mathematical,Model, Theoretical,Models, Mathematical,Studies, Theoretical,Study, Theoretical,Theoretical Model,Theoretical Models,Theoretical Studies
D010358 Patient Participation Patient involvement in the decision-making process in matters pertaining to health. Patient Activation,Patient Empowerment,Patient Engagement,Patient Involvement,Patient Participation Rates,Activation, Patient,Empowerment, Patient,Engagement, Patient,Involvement, Patient,Participation Rate, Patient,Participation Rates, Patient,Participation, Patient,Patient Participation Rate
D011369 Professional-Patient Relations Interactions between health personnel and patients. Contacting Clients,Pharmacist-Patient Relations,Professional Patient Relationship,Client, Contacting,Clients, Contacting,Contacting Client,Pharmacist Patient Relations,Pharmacist-Patient Relation,Professional Patient Relations,Professional Patient Relationships,Professional-Patient Relation,Relation, Pharmacist-Patient,Relation, Professional-Patient,Relations, Pharmacist-Patient,Relations, Professional-Patient,Relationship, Professional Patient,Relationships, Professional Patient
D003142 Communication The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Miscommunication,Misinformation,Social Communication,Communication Programs,Communications Personnel,Personal Communication,Communication Program,Communication, Personal,Communication, Social,Communications, Social,Miscommunications,Misinformations,Personnel, Communications,Program, Communication,Programs, Communication,Social Communications
D003299 Cooperative Behavior The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed) Compliant Behavior,Behavior, Compliant,Behavior, Cooperative,Compliant Behaviors,Cooperative Behaviors
D003657 Decision Making The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea. Credit Assignment,Assignment, Credit,Assignments, Credit,Credit Assignments
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D018802 Patient-Centered Care Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14) Nursing, Patient-Centered,Patient-Centered Nursing,Patient-Focused Care,Person-Centered Care,Medical Home,Care, Patient-Centered,Care, Patient-Focused,Care, Person-Centered,Cares, Person-Centered,Home, Medical,Homes, Medical,Medical Homes,Nursing, Patient Centered,Patient Centered Care,Patient Centered Nursing,Patient Focused Care,Person Centered Care,Person-Centered Cares

Related Publications

Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
January 2016, Research and theory for nursing practice,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
June 2022, Physiotherapy,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
January 2023, HCA healthcare journal of medicine,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
January 2015, Canadian oncology nursing journal = Revue canadienne de nursing oncologique,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
March 2013, Journal of interprofessional care,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
January 2022, Therapeutische Umschau. Revue therapeutique,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
July 2018, Journal of the American Geriatrics Society,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
January 2019, Journal of health care chaplaincy,
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
November 2012, BMJ (Clinical research ed.),
Dawn Stacey, and France Légaré, and Sophie Pouliot, and Jennifer Kryworuchko, and Sandy Dunn
February 2021, Journal of clinical oncology : official journal of the American Society of Clinical Oncology,
Copied contents to your clipboard!