|Appears in Collections:||Faculty of Health Sciences and Sport Journal Articles|
|Peer Review Status:||Refereed|
|Title:||Working in partnership: the application of shared decision making to health visitor practice|
public health nursing
shared decision making
|Citation:||Astbury R, Shepherd A & Cheyne H (2017) Working in partnership: the application of shared decision making to health visitor practice, Journal of Clinical Nursing, 26 (1-2), pp. 215-224.|
|Abstract:||Aim and objectives To explore the processes which support shared decision making when health visitors and parents are creating plans to improve the wellbeing of babies and children. Background Worldwide, there is a focus on promoting children's wellbeing in order to enhance population health. Within the United Kingdom, health visitors have a key responsibility for working in partnership with parents to support this agenda. Despite evidence that the application of ‘shared decision making’ frameworks can increase patient participation, improve patient satisfaction, and improve health outcomes, there is limited research linking shared decision making with health visitor practice. Design A qualitative, descriptive study. Methods The study was undertaken in two phases: in Phase 1, two parent: health visitor dyads, who were planning together as part of usual care, were audio-recorded and then the participants’ experiences were sought through individual questionnaires. In Phase 2 semi-structured interviews were conducted with nine health visitors and nine parents in relation to their recent experiences of planning care. Results Evidence of supportive processes included having a shared understanding around the issue needing to be addressed; being able to identify interventions which were accessible for the family; engaging in decision making through deep, meaningful conversations using sensitive and responsive approaches; and establishing positive relationships between health visitors and parents, significant others within the family, and other professionals. Conclusion Despite evidence of strong, trusting relationships between parents and health visitors, there were times when shared decision making was unable to take place due to the absence of supportive processes.|
|Rights:||This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: Astbury, R., Shepherd, A. and Cheyne, H. (2017), Working in partnership: the application of shared decision-making to health visitor practice. J Clin Nurs, 26: 215–224, which has been published in final form at https://doi.org/10.1111/jocn.13480. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.|
|Astbury_et_al-2016-Journal_of_Clinical_Nursing (1).pdf||282.18 kB||Adobe PDF||Under Embargo until 20/9/2017 Request a copy|
Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.
This item is protected by original copyright
Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.
If you believe that any material held in STORRE infringes copyright, please contact firstname.lastname@example.org providing details and we will remove the Work from public display in STORRE and investigate your claim.