How participatory action research changed our view of the challenges of shared decision-making training

Jette Ammentorp, Maiken Wolderslund, Connie Timmermann, Henry Larsen, Karina Dahl Steffensen, Annegrethe Nielsen, Marianne E Lau, Bodil Winther, Lars Henrik Jensen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Pål Gulbrandsen

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review

Abstract

OBJECTIVE: This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training.
METHODS: Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops.
RESULTS: The PAR process revealed that health professionals often struggled with addressing existential issues such as concerns about life, relationships, meaning, and ability to lead responsive dialogue. Following the PAR process, a communication programme that included communication on existential issues and coaching was drafted.
CONCLUSION: By involving multiple stakeholders in a comprehensive PAR process, valuable communication skills addressing a broader understanding of SDM were identified. A communication programme aimed to enhance skills in a mindful and responsive clinical dialogue on the expectations, values, and hopes of patients and their relatives was drafted.
PRACTICAL IMPLICATIONS: Before integrating new communication concepts such as SDM in communication training, research methods such as PAR can be used to improve understanding and identify the needs and priorities of both patients and health professionals.
OriginalsprogEngelsk
TidsskriftPatient Education and Counseling
Vol/bind101
Udgave nummer4
Sider (fra-til)639-646
Antal sider8
ISSN0738-3991
DOI
StatusUdgivet - 2018

Emneord

  • Fælles beslutningstagen
  • kommunikationstræning
  • participatory action research
  • shared decision making

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