Highlights
- •Health status, medication-related knowledge, the therapeutic nurse-patient relationship, time pressure and workload can hinder the application of medication-related shared decision making between nurses and patients.
- •Patients perceived nurses as key persons in the process of shared decision making regarding medication.
- •Individual and contextual factors determined patients' desire for involvement in medication-related decisions.
Abstract
Purpose
(i) To explore patients' and nurses’ experiences with medication-related shared decision
making (SDM) (i.e., familiarity with the concept, application of medication-related
SDM, barriers and facilitators towards its application) and (ii) to explore their
role perceptions, respectively.
Methods
A qualitative study was conducted in which seven interviews with oncological patients
and a focus group interview with six nurses were performed. Prior to the interviews,
observations of the application of shared decision making were conducted using the
OPTION-12 scale. The observations were used exclusively to trigger the group discussion.
Data were collected from November 2020 until March 2021.
Results
According to participants, the application of SDM regarding medication by nurses in
oncology is limited. Barriers mentioned are health status, medication-related knowledge,
the therapeutic nurse-patient relationship, time pressure and workload. Patients valued
nurses' contribution to SDM regarding medication and perceived them as key persons
because of their advocating, informative, facilitating and supportive role. Individual
and contextual factors determined patients’ desire for involvement in medication-related
decisions.
Discussion
Participants solely concentrated on SDM concerning drug choice and management of therapeutic
and adverse effects. The patients' and nurses’ experiences and perceptions towards
SDM in other domains of pharmaceutical care need further investigation.
Keywords
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Article info
Publication history
Accepted:
March 10,
2023
Received in revised form:
February 25,
2023
Received:
November 29,
2022
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2023 Elsevier Ltd. All rights reserved.
