TY - JOUR
T1 - Experiences of shared decision making in acute hospitals
T2 - A mixed methods secondary analysis of the Irish National Inpatient Experience Survey
AU - Drummond, Linda
AU - Guiney, SarahJayne
AU - Connolly, David
AU - Foley, Conor
AU - O'Connor, Laura
AU - O'Carroll, Tracy
AU - Flynn, Rachel
AU - Rohde, Daniela
N1 - Publisher Copyright:
© 2023 Elsevier B.V.
PY - 2023/8
Y1 - 2023/8
N2 - Introduction: This study explored patient experiences of shared decision making (SDM) in public acute hospitals in Ireland. Methods: Quantitative and qualitative data from three years of the Irish National Inpatient Experience Survey were analysed. Survey questions were mapped to definitions of SDM and subjected to principal components analysis. Three SDM subscales (care on the ward; treatments; discharge) and one overall SDM scale were created. Differences in experiences of SDM by aspects of care and patient group were assessed. Thematic analysis of qualitative responses was undertaken. Results: 39,453 patients participated in the survey. The mean SDM experience score was 7.60 ± 2.43. Experience scores were highest on the treatments sub-scale, and lowest during discharge. Patients who had a non-emergency admission, those aged 51–80 years and men had more positive experiences than other groups. Patient comments highlighted that opportunities to clarify information and facilitation of families/caregivers in SDM were found to be lacking. Conclusion: There were differences in experiences of SDM by aspects of care and patient group. Practice implications: Efforts to improve SDM in acute hospitals are required, particularly at the time of discharge. SDM may be improved by facilitation of more time for discussion between clinicians and patients and/or their families/caregivers.
AB - Introduction: This study explored patient experiences of shared decision making (SDM) in public acute hospitals in Ireland. Methods: Quantitative and qualitative data from three years of the Irish National Inpatient Experience Survey were analysed. Survey questions were mapped to definitions of SDM and subjected to principal components analysis. Three SDM subscales (care on the ward; treatments; discharge) and one overall SDM scale were created. Differences in experiences of SDM by aspects of care and patient group were assessed. Thematic analysis of qualitative responses was undertaken. Results: 39,453 patients participated in the survey. The mean SDM experience score was 7.60 ± 2.43. Experience scores were highest on the treatments sub-scale, and lowest during discharge. Patients who had a non-emergency admission, those aged 51–80 years and men had more positive experiences than other groups. Patient comments highlighted that opportunities to clarify information and facilitation of families/caregivers in SDM were found to be lacking. Conclusion: There were differences in experiences of SDM by aspects of care and patient group. Practice implications: Efforts to improve SDM in acute hospitals are required, particularly at the time of discharge. SDM may be improved by facilitation of more time for discussion between clinicians and patients and/or their families/caregivers.
KW - Healthcare quality
KW - Mixed methods
KW - Patient experience
KW - Person -centred care
KW - Shared decision making
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=pureapplicaion&SrcAuth=WosAPI&KeyUT=WOS:000988743300001&DestLinkType=FullRecord&DestApp=WOS_CPL
U2 - 10.1016/j.pec.2023.107755
DO - 10.1016/j.pec.2023.107755
M3 - Article
C2 - 37099839
SN - 0738-3991
VL - 113
JO - Patient Education and Counseling
JF - Patient Education and Counseling
M1 - 107755
ER -