AI Article Synopsis
- The study explores the role of nurses in shared decision-making with older patients suffering from dementia in acute hospital settings.
- Nurses typically participated as members of the treatment team, intermediates, or supporters to help facilitate decisions.
- The review identified that nurses were most active during the preparation phase of decision-making, but their involvement in creating tailored options was limited and they often had to influence decisions from an outside perspective.
Article Abstract
Aim: To describe nurses' roles, involvement, and topics in shared decision-making with older patients with dementia in acute hospitals.
Design: An integrative review.
Methods: A systematic search was performed until April 2022 in PubMed, PsychInfo, CINAHL, and Cochrane, followed by a manual search on the reference lists of relevant systematic reviews. Studies were independently screened, appraised using the Joanna Briggs Institute (JBI) methodology, and extracted by two reviewers.
Results: Nine studies were included. Nurses were involved as treatment team members, intermediates, or patient supporters. Nurses' roles were most explicit in the preparatory phase of shared decision-making. The step of 'developing tailor-made options' was limitedly identified. 'Deliberating and trying options to reach a decision' were described from an outsider's perspective in which nurses attempted to influence the decision. In conclusion, nurses primarily have a role in decision-making by supplementing patient information. Patient and Public Contribution No Patient or Public Contribution.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170895 | PMC |
| http://dx.doi.org/10.1002/nop2.1618 | DOI Listing |
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