Barriers to and facilitators of implementing shared decision making and decision support in a paediatric hospital: A descriptive study

Paediatrics and Child Health (Canada)

Volumn 21, Issue 3, 2016, Pages e17-e21

  Boland, Laura ^a,b   McIsaac, Daniel I ^c   Lawson, Margaret L ^b  

^a UNIVERSITY OF OTTAWA   (Canada)

^b CHILDREN S HOSPITAL OF EASTERN ONTARIO   (Canada)

^c OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

Author keywords

Barriers; Decision support; Facilitators; Implementation; Paediatric; Shared decision making

Indexed keywords

CONSENSUS DEVELOPMENT; DECISION MAKING; DECISION SUPPORT SYSTEM; DIAGNOSIS; FAMILY; FAMILY STUDY; HOSPITAL ADMINISTRATOR; HUMAN; INTERVIEW; JUVENILE; PEDIATRIC HOSPITAL; PERCEPTION; QUALITATIVE RESEARCH; THEMATIC ANALYSIS; WORKFLOW;

EID: 84962784568     PISSN: 12057088     EISSN: None     Source Type: Journal    
DOI: 10.1093/pch/21.3.e17     Document Type: Article

References (25)

1. Makoul G, Clayman ML. An integrative model of shared decision making in medical encounters. Patient Educ Couns 2006;60:301-12.
2. Légaré F, Stacey D, Pouliot S, et al. Interprofessionalism and shared decision-making in primary care: A stepwise approach towards a new model. J Interprof Care 2011;25:18-25.
3. Gabe J, Olumide G, Bury M. It takes three to tango: A framework for understanding patient partnership in paediatric clinics. Soc Sci Med 2004;59:1071-9.
4. Wyatt KD, List B, Brinkman W, et al. Shared decision making in pediatrics: A systematic review and meta-analysis. Acad Pediatr Acad Pediatr 2015;15:573-83.
5. Committee on hospital care and institute for patient and familycentered care: Patient- and family-centered care and the pediatrician's role. Pediatrics 2012;129:394-404.
6. Harrison C. Treatment decisions regarding infants, children and adolescents: Position statement. Paediatr Child Health 2004;9:99-103.
7. Feenstra B, Boland L, Lawson M, et al. Interventions to support children's engagement in health-related decisions: A systematic review. BMC Pediatr 2014;14:109-21.
8. Lipstein EA, Brinkman WB, Britto MT. What is known about parents' treatment decisions? A narrative review of pediatric decision making. Med Decis Making 2012;32:246-58.
9. Moore L, Kirk S. A literature review of children's and young people's participation in decisions relating to health care. J Clin Nurs 2010;19:2215-25.
10. Coyne I, O'Mathuna DP, Gibson F, Shields L, Sheaf G. Interventions for promoting participation in shared decision-making for children with cancer. Cochrane Database Syst Rev 2013;6:CD008970.
11. O'Connor, AM. Ottawa Decision Support Framework to address decisional conflict© 2006 (Accessed July 14, 2015).
12. Elwyn G, O'Connor A, Bennett C, et al. Assessing the quality of decision support technologies using the International Patient Decision Aids Standards instrument (IPDASi). PLoS One 2009;4:1-9.
13. Stacey D, Légaré F, Col NF, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev 2014;1:CD001431.
14. O'Connor AM, Stacey D, Legare F. Coaching to support patients in making decisions. BMJ 2008;336:228-9.
15. Stacey D, Kryworuchko J, Bennett C, Murray MA, Mullan S, Légaré F. Decision coaching to prepare patients for making health decisions: A systematic review of decision coaching in trials of patient decision AIDS Med Decis Making 2012;32:E22-E33.
16. Légaré F, Zhang P. Barriers and facilitators: Strategies for identification and measurement. In: Knowledge Translation in Health Care: Moving from Evidence to Practice, Straus S, Tetroe J, Graham I, eds. West Sussex: Wiley Blackwell: BMJ Books; 2013.
17. Baker R, Camosso-Stefinovic J, Gillies C, et al. Tailored interventions to overcome identified barriers to change: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2010;3:CD005470.
18. Godin G, Belanger-Gravel A, Eccles M, Grimshaw J. Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories. Implement Sci 2008;3:36.
19. Thorne S, Kirkham SR, MacDonald-Emes J. Interpretive description: A noncategorical qualitative alternative for developing nursing knowledge. Res Nurs Health 1997;20:169-77.
20. Thorne S, Kirkham, S, O'Flynn-Magee K. The analytic challenge in interpretive description. Int J Qual Methods 2004;3:1-21.
21. Robert Wood Johnson Foundation. Qualitative research guidelines project 2008, (Accessed March 7, 2015).
22. Luborsky MR. The identification and analysis of themes and patterns. In: Qualitative Methods in Aging, Gubrium JF, Sankar A, eds. Thousand Oaks: Sage Publishing, 1994.
23. Légaré F, Ratte S, Gravel K, Graham ID. Barriers and facilitators to implementing shared decision-making in clinical practice: Update of a systematic review of health professionals' perceptions. Patient Educ Couns 2008;73:526-35.
24. Fiks AG, Hughes CC, Gafen A, Guevara JP, Barg FK. Contrasting parents' and pediatricians' perspectives on shared decision-making in ADHD. Pediatrics 2011;127:e188-e196.
25. Coyne I. Children's participation in consultations and decisionmaking at health service level: A review of the literature. Int J Nurs Stud 2008;45:1682-9.