Home care providers' perceptions of shared decision-making with older clients (and their caregivers): A cross-sectional study.

Aged Canada Caregivers Cross-Sectional Studies Decision Making Decision Making, Shared Home Care Services Humans
aged aged, 80 and over allied health personnel decision making shared home care services participatory research personal support workers

Journal

Nursing & health sciences
ISSN: 1442-2018
Titre abrégé: Nurs Health Sci
Pays: Australia
ID NLM: 100891857

Informations de publication

Date de publication:
Jun 2022
Historique:
revised: 06 04 2022
received: 17 12 2021
accepted: 09 04 2022
pubmed: 24 4 2022
medline: 9 6 2022
entrez: 23 4 2022
Statut: ppublish

Résumé

Interprofessional care teams can play a key role in supporting older adults (and caregivers) in making informed health decisions, yet shared decision making is not widely practiced in home care. Based on an earlier needs assessment with older adults (and caregivers) with home care experience, we aimed to explore the perceptions of home care teams on the decisions facing their clients and their perceived involvement in shared decision making. A cross-sectional study was conducted with 614 home care providers (nurses, personal support workers, rehabilitation professionals) in three Canadian provinces (Quebec, Ontario, and Alberta). Home care providers considered the decision "to stay at home or move" as the most difficult for older adults. Those most frequently involved in decision making with older adults were family members and least involved were physicians. Although all home care providers reported high levels of shared decision-making, we detected an effect of respondent's discipline on self-perceived shared decision-making; nurses and rehabilitation professionals reported significantly higher levels of shared decision making than personal support workers. A more tailored approach is required to support shared decision making in interprofessional care teams.

Identifiants

DOI: 10.1111/nhs.12946 PMID: 35460164 PMC: PMC9322282
pubmed: 35460164
doi: 10.1111/nhs.12946
pmc: PMC9322282
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

487-498

Subventions

Organisme : The funding source for this work was a Foundation Grant (#FDN-159937) from the Canadian Institutes of Health Research (CIHR)

Informations de copyright

© 2022 The Authors. Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd.

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Auteurs

Claudia Lai (C)

Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation, Université Laval, Quebec, Quebec, Canada.
SE Research Centre, SE Health, Markham, Ontario, Canada.
Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada.

Paul Holyoke (P)

SE Research Centre, SE Health, Markham, Ontario, Canada.

Karine V Plourde (KV)

Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation, Université Laval, Quebec, Quebec, Canada.
VITAM Centre de recherche en santé durable, Quebec, Quebec, Canada.
CHU de Québec Research Centre, Université Laval, Quebec, Quebec, Canada.

Lily Yeung (L)

Participant Partner, Toronto, Ontario, Canada.

France Légaré (F)

Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation, Université Laval, Quebec, Quebec, Canada.
VITAM Centre de recherche en santé durable, Quebec, Quebec, Canada.
CHU de Québec Research Centre, Université Laval, Quebec, Quebec, Canada.
Department of Family Medicine and Emergency Medicine, Université Laval, Quebec, Quebec, Canada.
ORCID: 0000-0002-2296-6696

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Home care providers' perceptions of shared...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Home care providers' perceptions of shared...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Aidants › Home care providers' perceptions of shared...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Home care providers' perceptions of shared...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Home care providers' perceptions of shared...
questionsmedicales.fr › Activités humaines › Participation des parties prenantes › Prise de décision partagée › Home care providers' perceptions of shared...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de soins infirmiers › Services de soins à domicile › Home care providers' perceptions of shared...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Home care providers' perceptions of shared...