BACKGROUND: Shared decision-making is widely recommended but has not been widely implemented in mental healthcare. There is a lack of direct evidence about health professionals' perspectives on shared decision-making in Asian cultures, particularly Taiwan. Such knowledge is of key importance to facilitate shared decision-making. Therefore, further studies are needed to clarify this issue.
AIM: To explore health professionals' perspectives of shared decision-making in secondary mental healthcare in Taiwan.
METHOD: Qualitative semi-structured interviews were used. Purposive sampling was applied to recruit health professionals. Data were analysed using thematic analysis.
RESULTS: Twenty-four health professionals were recruited. This study found the absence of shared decision-making was acceptable to them. Barriers included: powerful status of health professionals and families, patients with impaired decisional ability due to mental illness, health professionals' lack of understanding of shared decision-making, and insufficient time. Facilitators included: awareness of patients' right to autonomy and understanding of potential benefits of shared decision-making.
CONCLUSIONS: The study found that the absence of patient involvement in decision-making was widely reported. A discussion of barriers and facilitators is provided. Barriers and facilitators are highlighted to build a foundation for implementing shared decision-making in the future.
|Number of pages||7|
|Journal||Journal of mental health (Abingdon, England)|
|Early online date||3 Jan 2022|
|Publication status||Published - 3 Jan 2022|
- Shared decision making
- health professional perspective
- mental healthcare
- qualitative research