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1
Psychiatric nurses recognize the value of shared decision-making (SDM) but interpret it through clinical reasoning and situational factors.
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2
Nurses view patients' decision-making capacity as influenced by illness phase, risk, and ward culture, rather than as a stable attribute.
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3
Support for SDM among nurses varies along a continuum shaped by patient acuity, institutional safeguards, and perceived legal risks.
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4
Nurses play a crucial role in facilitating SDM by engaging with patients and translating medical information into understandable terms.
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5
Promoting SDM in closed psychiatric wards requires structured assessments, explicit procedures, and integration of patient participation with safety.
