Summary
This study in Patient Education and Counseling aimed to systematically review parental perceptions of shared decision-making (SDM) in neonatology, and identify barriers and facilitators to implementing SDM.
The study identified the following key barriers to SDM:
- Emotional crises experienced in the NICU setting
- Lack of medical information provided to parents to inform decision-making
- Inadequate communication of information
- Poor relationships with caregivers
- Lack of continuity in care
- Perceived power imbalances between HCPs and parents.
It also identified the following key facilitators for SDM:
- Clear, honest and compassionate communication of medical information
- Caring and empathetic caregivers
- Continuity in care
- Tailored approaches that reflected parent’s desired level of involvement.
Barriers and facilitators to shared decision-making in neonatal medicine: A systematic review and thematic synthesis of parental perceptions (27 August 2021)
https://www.sciencedirect.com/science/article/abs/pii/S0738399121005796#!
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