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Shared Decision-Making—Balancing Between Power and Responsibility as Mental Health-Care Professionals in a Therapeutic Milieu
| Content Provider | SAGE Publishing |
|---|---|
| Author | Beyene, Lise S. Severinsson, Elisabeth Hansen, Britt S. Rørtveit, Kristine |
| Copyright Year | 2018 |
| Abstract | Shared decision-making (SDM) is supposed to position patient and expert knowledge more equal, in which will have an impact on how mental health-care professionals relate to their patients. As SDM has not yet been widely adopted in therapeutic milieus, a deeper understanding of its use and more knowledge of interventions to foster its implementation in clinical practice are required.AimTo explore how mental health-care professionals describe SDM in a therapeutic milieu as expressed through clinical supervision. The research question was “What are prerequisites for mental health-care professionals to practice SDM in a therapeutic milieu?”MethodsA qualitative content analysis of data from focus groups dialogues in 10 clinical supervision sessions where eight mental health-care professionals participated was performed.FindingsThe theme, practicing SDM when balancing between power and responsibility to form safe care, was based on three categories: internalizing the mental health-care professionals’ attributes, facilitating patient participation, and creating a culture of trust.ConclusionSDM is a complex and arduous process requiring appropriate interventions. Clinical supervision is necessary for reflection on SDM and for improving practice in a therapeutic milieu. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/2377960817752159?download=true |
| ISSN | 23779608 |
| Volume Number | 4 |
| Journal | SAGE Open Nursing (SON) |
| e-ISSN | 23779608 |
| DOI | 10.1177/2377960817752159 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2018-01-11 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2018 |
| Subject Keyword | focus groups shared decision-making therapeutic milieu mental health-care professionals clinical supervision |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nursing |