Experiences of shared decision making in acute hospitals: A mixed methods secondary analysis of the Irish National Inpatient Experience Survey

Linda Drummond, SarahJayne Guiney, David Connolly, Conor Foley, Laura O'Connor, Tracy O'Carroll, Rachel Flynn, Daniela Rohde

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article number107755
Number of pages9
JournalPatient Education and Counseling
Volume113
DOIs
Publication statusPublished - Aug 2023

Keywords

  • Healthcare quality
  • Mixed methods
  • Patient experience
  • Person -centred care
  • Shared decision making

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