Nurses’ Concepts and Experiences in Shared Decision-Making

Written by Rainier C. Moreno-Lacalle & Mary Grace C. Lacanaria

doi: https://doi.org/10.13178/jnparr. 2020.10.02.1008

Abstract

Background: Shared decision-making with nurses is proven to be effective in improving patient outcomes. However, the concept is understood and interpreted in different ways. Nurses’ concepts and experiences can bring light to different understanding and interpretations.

Objective: The objective of this study is to explore nurses’ concepts and experiences in shared decision-making.

Methods: The study employed qualitative descriptive design, using focus group discussions. A total of nine focus group discussions (FGDs) were conducted among nurses in eight hospitals located in Baguio City, La Trinidad Benguet, La Union, and Pangasinan provinces in the Philippines. There were 38 nurse participants in this study. Twenty-two (22) were staff nurses (or line managers), and 16 were nurse supervisors/head nurses (or
middle managers).

Results: The participants defined shared decision-making as an agreed-upon process made by two people towards a common goal. There were three major concepts identified, namely: initiated by cues, presentation of pros and cons, and deliberation. The experiences of nurses in shared decision-making involve family inclusion, courtesy and respect, listening to both sides, and organizational considerations.

Conclusion: Shared decision-making is a dynamic concept involving the active role of patient, family, nurses, and/or other health workers, which is influenced by both the external and social factors. 

Keywords: nurses, concepts, experiences, shared decision-making