Abstract
Background: Shared decision-making is widely recommended but has not been widely implemented in mental healthcare. There is a lack of direct evidence about health professionals’ perspectives on shared decision-making in Asian cultures, particularly Taiwan. Such knowledge is of key importance to facilitate shared decision-making. Therefore, further studies are needed to clarify this issue.
Aim: To explore health professionals’ perspectives of shared decision-making in secondary mental healthcare in Taiwan.
Method: Qualitative semi-structured interviews were used. Purposive sampling was applied to recruit health professionals. Data were analysed using thematic analysis.
Results: Twenty-four health professionals were recruited. This study found the absence of shared decision-making was acceptable to them. Barriers included: powerful status of health professionals and families, patients with impaired decisional ability due to mental illness, health professionals’ lack of understanding of shared decision-making, and insufficient time. Facilitators included: awareness of patients’ right to autonomy and understanding of potential benefits of shared decision-making.
Conclusions: The study found that the absence of patient involvement in decision-making was widely reported. A discussion of barriers and facilitators is provided. Barriers and facilitators are highlighted to build a foundation for implementing shared decision-making in the future.
Aim: To explore health professionals’ perspectives of shared decision-making in secondary mental healthcare in Taiwan.
Method: Qualitative semi-structured interviews were used. Purposive sampling was applied to recruit health professionals. Data were analysed using thematic analysis.
Results: Twenty-four health professionals were recruited. This study found the absence of shared decision-making was acceptable to them. Barriers included: powerful status of health professionals and families, patients with impaired decisional ability due to mental illness, health professionals’ lack of understanding of shared decision-making, and insufficient time. Facilitators included: awareness of patients’ right to autonomy and understanding of potential benefits of shared decision-making.
Conclusions: The study found that the absence of patient involvement in decision-making was widely reported. A discussion of barriers and facilitators is provided. Barriers and facilitators are highlighted to build a foundation for implementing shared decision-making in the future.
| Original language | English |
|---|---|
| Pages (from-to) | 709-715 |
| Number of pages | 7 |
| Journal | Journal of Mental Health |
| Volume | 31 |
| Issue number | 5 |
| Early online date | 3 Jan 2022 |
| DOIs | |
| Publication status | Published - 2022 |
