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The shared decision making of older adults in healthcare

The shared decision making of older adults in healthcare The research question is: what are older adults’ experiences of shared decision making (SDM) in a healthcare setting? This involved exploring older adults’ experiences and opinions of decision making in a healthcare setting, and understanding what SDM means to older adults. The paper aims to discuss this issue.Design/methodology/approachA qualitative study using face-to-face, semi-structured interviews with adults over 65 years was conducted. Thematic analysis was used.FindingsThree broad themes were identified which ascribed roles to individuals involved in decision making. This includes the way in which older adults felt they should be involved actively: by asking questions and knowing their own body. The doctors’ role was described as assistive by facilitating discussion, giving options and advice. The role of the family was also explored; older adults felt the family could impact on their decisions in both a direct and indirect way. There was some confusion about what constituted a decision.Research limitations/implicationsThis was a small qualitative study in a market town in England.Practical implicationsClinicians should facilitate the involvement of older adults in SDM and consider how they can increase awareness of this. They should also involve the family in decision making.Originality/valueThere are limited studies which look at this issue in depth. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Working with Older People Emerald Publishing

The shared decision making of older adults in healthcare

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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1366-3666
DOI
10.1108/wwop-11-2018-0023
Publisher site
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Abstract

The research question is: what are older adults’ experiences of shared decision making (SDM) in a healthcare setting? This involved exploring older adults’ experiences and opinions of decision making in a healthcare setting, and understanding what SDM means to older adults. The paper aims to discuss this issue.Design/methodology/approachA qualitative study using face-to-face, semi-structured interviews with adults over 65 years was conducted. Thematic analysis was used.FindingsThree broad themes were identified which ascribed roles to individuals involved in decision making. This includes the way in which older adults felt they should be involved actively: by asking questions and knowing their own body. The doctors’ role was described as assistive by facilitating discussion, giving options and advice. The role of the family was also explored; older adults felt the family could impact on their decisions in both a direct and indirect way. There was some confusion about what constituted a decision.Research limitations/implicationsThis was a small qualitative study in a market town in England.Practical implicationsClinicians should facilitate the involvement of older adults in SDM and consider how they can increase awareness of this. They should also involve the family in decision making.Originality/valueThere are limited studies which look at this issue in depth.

Journal

Working with Older People – Emerald Publishing

Published: May 23, 2019

Keywords: Qualitative research; Older people; Healthcare; Family support; Shared decision making; Doctor–patient relationship

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