Attitudes towards shared decision making in mental health: A qualitative synthesis

Kaminskiy, Emma and Senner, Simon and Hamann, Johannes (2017) Attitudes towards shared decision making in mental health: A qualitative synthesis. Mental Health Review Journal, 22 (3). pp. 233-256. ISSN 1361-9322

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Purpose Shared Decision Making (SDM) prioritises joint deliberation between practitioner and service user, and a respect for service-users’ experiential knowledge, values and preferences.. This article reviews the existing literature pertaining to key stakeholders’ attitudes towards SDM in mental health. It examines whether perceived barriers and facilitators differ by group (e.g. service user, psychiatrist, nurse, social worker) and includes views of what facilitates and hinders the process for service users and practitioners. Methodology This review adopts the principles of a qualitative research synthesis. A key word search of research published between 1990 and 2016 was undertaken. Qualitative, quantitative and mixed methods studies were included. Findings 43 papers were included and several themes identified for service user and practitioner perspectives. Both practitioners and service users see SDM as an ethical imperative, and both groups highlight the need to be flexible in implementing shared decision making, suggesting it is context dependent. A range of challenges and barriers are presented by both practitioners and service users reflecting complex contextual and cultural features within which interactions in mental health take place. There were qualitative differences in what service users and practitioners describe as preventing or enabling SDM. The differences highlighted point towards different challenges and priorities in SDM for service users and practitioners. Originality / Value The presentation of nuanced views and attitudes that practitioners and service users hold represent an important and under reported area and offer insight into the reasons for the gap between idealised policy and actual practice of SDM in mental health settings

Item Type: Journal Article
Keywords: mental health, shared decision making, attitudes, qualitative synthesis, review
Faculty: Faculty of Science & Technology
Depositing User: Dr Emma Kaminskiy
Date Deposited: 03 Jul 2017 11:13
Last Modified: 23 Nov 2017 09:29

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