Psychiatric nurses’ understandings and attitudes toward the participation of patients with mental disorders in shared decision-making: a phenomenological study - Report - MDSpire
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Perceptions and Attitudes of Psychiatric Nurses Regarding Patient Involvement in Shared Decision-Making: A Phenomenological Analysis
Perceptions and Attitudes of Psychiatric Nurses Regarding Patient Involvement in SDM
Overview
This study explores psychiatric nurses' perceptions of shared decision-making (SDM) in closed psychiatric wards.
Background
Shared decision-making (SDM) is essential in mental health care, promoting collaboration between clinicians and patients. Its implementation in closed psychiatric settings is complicated by factors such as fluctuating decision-making capacity and safety concerns.
Data Highlights
No numerical data presented in the article.
Key Findings
Nurses endorsed the value of SDM but conflated it with informed consent.
Decision-making capacity was viewed as constrained by the patient's illness phase and risk factors.
Nurses often positioned themselves as intermediaries rather than co-decision-makers.
Attitudes towards SDM varied based on patient acuity and ward culture.
Clinical Implications
The findings highlight the need for training and support for psychiatric nurses.
Conclusion
Psychiatric nurses' interpretations of SDM reflect the complexities of closed psychiatric care.
