• Marie Truglio-Londrigan.
• The College of Health Professions, Lienhard School of Nursing, Pace University, Pleasantville, NY, USA.
• J Clin Nurs. 2013 Oct 1; 22 (19-20): 2883-95.

Aims And ObjectivesTo come to know, understand and describe the experience of shared decision-making in home-care from the nurse's perspective.BackgroundThe literature presents the concept of shared decision-making as a complex process characterised by a partnership between the healthcare provider and the patient, which is participatory and action oriented with education and negotiation leading to agreement. Few studies have been carried out to explore and describe the events that make up the experiences of shared decision-making in home-care from the nurse's perspective.DesignA qualitative descriptive study was implemented.MethodSemi structured interviews were performed with 10 home-care nurses who were asked to reflect on a time in their practice when they were involved in a shared decision-making process with their patient. All data were analysed using Colaizzi's method.FindingsThe following Themes were uncovered: Begin where the patient is; Education for shared decision-making; The village and shared decision-making; and Whose decision is it? Each of the four Themes contained Subthemes.ConclusionsThe findings of this study present shared decision-making as a complex, multidimensional and fluid process. A thorough understanding of shared decision-making is essential within the multiple contexts in which care is delivered.Relevance To Clinical PracticeNurses in clinical practice need to know and understand the events of the experience of shared decision-making. A more comprehensive understanding of these facts can assist home-care nurses in their practice with regard to the application of shared decision-making.© 2013 Blackwell Publishing Ltd.

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