An Interprofessional Approach to Shared Decision Making: An Exploratory Case Study with Family Caregivers of One IP Home Care Team

An Interprofessional Approach to Shared Decision Making: An Exploratory Case Study with Family Caregivers of One IP Home Care Team

An Interprofessional Approach to Shared Decision Making: An Exploratory Case Study with Family Caregivers of One IP Home Care Team

An Interprofessional Approach to Shared Decision Making: An Exploratory Case Study with Family Caregivers of One IP Home Care Teams

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Référence bibliographique [12952]

Légaré, France, Stacey, Dawn, Brière, Nathalie, Robitaille, Hubert, Lord, Marie-Claude, Desroches, Sophie et Drolet, Renée. 2014. «An Interprofessional Approach to Shared Decision Making: An Exploratory Case Study with Family Caregivers of One IP Home Care Team ». BMC Geriatrics, vol. 14, p. 1-13.

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Fiche synthèse

1. Objectifs


Intentions :
This study explores «the perceptions of family caregivers about the decision-making process they had experienced regarding relocating their relative and about the applicability of IP-SDM [interprofessional approach to shared decision making].» (p. 2)

2. Méthode


Échantillon/Matériau :
L’étude est basée sur la participation de huit cadres d’établissements de santé (entrevues individuelles) et de 272 professionnels de la santé.

Instruments :
Sondage (professionnels de la santé)

Type de traitement des données :
Analyse de contenu

3. Résumé


À la lumière de leurs recherches, les auteurs font cinq constats. «Firstly […] family caregivers felt that the support provided by the health professional targeted the decision about where to relocate (choosing among care facilities) rather than the decision about relocation or staying home, i.e. they felt supported for a decision subsequent to the initial decision about whether to relocate or stay home. […] Secondly, it was both reassuring and worrisome to hear family caregivers assuming the role of initiators of the decision making process while at the same time acknowledging that they were in a position of controlling what information to share with the client. […] Thirdly, we encountered family caregivers who reported differing values from those of the IP home care teams involved in the decision making process. […] Fourthly, we observed that family caregivers felt some pressure to choose a specific option in a short period of time. […] Family caregivers also felt some pressure to choose a specific option based on their financial means. […] Lastly, most family caregivers reported being supported by only one health professional (a social worker, as is usually the case in the home care system in the Province of Québec) and they did not feel they had experienced any IP-SDM.» (p. 11)