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http://dx.doi.org/10.15207/JKCS.2019.10.11.543

Shared decision-making in Patients with Chronic Disease : Concept Analysis  

Yoo, Ji Yeon (Department of Nursing, Graduate School, The Catholic University)
Publication Information
Journal of the Korea Convergence Society / v.10, no.11, 2019 , pp. 543-555 More about this Journal
Abstract
The purpose of this study was to define and clarify the concept of Shared decision-making (SDM) in patients with chronic disease. Walker and Avant's concept analysis process was used to analyze interdisciplinary convergence in SDM. SDM in patients with chronic disease can be defined by the following attributes: acknowledgment patients as 'self-care experts', the rights of self-determination, reversible negotiation, and patient-centered care. The antecedents of SMD consisted of situations where there is a need to make a decision from several treatment options of similar efficacy, decisional conflict, patient, family, and health provider's willingness to participate in the decision-making process, enough time and opportunity for SDM. The consequences occurring as a result of SMD were decrease decisional conflict, improvement health outcome, satisfaction, quality of life, enhancement self-management and self-efficacy with long-term, and living acceptably with the illness. Based on these results, a scale measuring SDM in patients with chronic disease is needed.
Keywords
Chronic disease; Shared decision-making; Concept Analysis; Convergence;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
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