Archives of psychiatric nursing · 2021
Shared decision making in a semi-secluded chronic psychiatric ward: The reflective lifeworld experiences of patients with schizophrenia or schizoaffective disorders and nursing staff.
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Wesseldijk-Elferink Ilse J M, Hendriks Agnes W, van den Heuvel Silvio C G H
Аннотация
BACKGROUND: Shared decision making (SDM) enhances recovery-oriented mental healthcare, but literature predominately focuses on doctor-patient collaboration leaving the role of mental health nurses (MHN's) underexposed.
AIM: This study describes the experiences of patients with schizophrenia or schizoaffective disorder with SDM in a semi-secluded psychiatric facility, and the attitudes toward SDM by MHN's.
METHOD: A hermeneutic phenomenological design.
RESULTS: Seven patients and six MHN's were interviewed. Although MHNs were skeptical to utilize SDM, and patients often feel omitted, investing in inter-human contact increased the therapeutic alliance.
CONCLUSION: Tailored plan making and attainable goal setting, building trust, and providing hope are important incentives to enhance SDM.
AIM: This study describes the experiences of patients with schizophrenia or schizoaffective disorder with SDM in a semi-secluded psychiatric facility, and the attitudes toward SDM by MHN's.
METHOD: A hermeneutic phenomenological design.
RESULTS: Seven patients and six MHN's were interviewed. Although MHNs were skeptical to utilize SDM, and patients often feel omitted, investing in inter-human contact increased the therapeutic alliance.
CONCLUSION: Tailored plan making and attainable goal setting, building trust, and providing hope are important incentives to enhance SDM.