Shared decision‐making in the paediatric field: a literature review and concept analysis.

Aim: The concept of shared decision‐making is poorly defined and often used interchangeably with related terms. The aim of this study was to delineate and clarify the concept of shared decision‐making in the paediatric field. Method: Rodgers and Knafl's evolutionary concept analysis was used to deli...

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Publicado en:Scandinavian Journal of Caring Sciences Vol. 32; no. 2; pp. 478 - 490
Autores principales: Park, Eun Sook, Cho, In Young
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2018
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Shared decision‐making in the paediatric field: a literature review and concept analysis.
      aug:
        au:
          Park, Eun Sook
          Cho, In Young
        affil: College of Nursing, Korea University, Seoul, South Korea
      sug:
        subj:
          Decision Making, Shared In Infancy and Childhood
          Pediatric Care
          Professional Practice, Evidence-Based
          Concept Analysis
          Child Health
          Systematic Review
          Human
          CINAHL Database
          PubMed
          Medline
          Collaboration
          Parents
          Empowerment
          Health Status
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Patient Autonomy
          Communication
          Professional-Patient Relations
          Professional-Family Relations
          Decision Making, Family
          Pediatric Nursing
          Nursing Role
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Aim: The concept of shared decision‐making is poorly defined and often used interchangeably with related terms. The aim of this study was to delineate and clarify the concept of shared decision‐making in the paediatric field. Method: Rodgers and Knafl's evolutionary concept analysis was used to delineate and clarify the concept. Following a search of the CINAHL, PubMed and MEDLINE databases and online journals between 1995 and 2016, we included a total of 42 articles that referred to shared decision‐making in the paediatric field. Results: The attributes included active participation of the three: parents, children and health professionals; collaborative partnership; reaching a compromise; and common goal for child's health. Antecedents were existing several options with different possible outcomes; substantial decisional conflict; recognising child's health situations that decision‐making is needed; and willingness to participate in decision‐making. Finally, the consequences included decreased decisional conflict; mutual empowerment; improved child health status; and improved quality of paediatric health care. Conclusion: This study provides a theoretical understanding of the concept of shared decision‐making in the paediatric field; furthermore, by integrating this concept into paediatric practice, it may help to reduce the gap between theory and practice. The analysis could also provide nursing researchers with insight into paediatric decision‐making and establish a foundation to develop future interventions and situation‐specific theory for promoting high‐quality decision‐making in the paediatric field.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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