Exploring SDM in HIV nursing care
Potentialbarriers
Response
Needinginterpreters
17.1%(n=11)
Notknowingpatientadequately
15.6%(n=10)
Lackofsupportfromcolleagues
14%(n=9)
Treatmentguidelines/optionsavailable
14%(n=9)
Organisationaltargets
14%(n=9)
Thesettingdoesn'tsupportshareddecisionmaking
9.4%(n=6)
PublicHealthEnglandtargets
7.9%(n=5)
ThisistheroleofanothermemberoftheMDT
7.9%(n=5)
Other
6.2%(n=4)
Aselectionofpotentialbarrierstoshareddecisionmakingwerelisted.Nurseswereaskedtoselect
thetopthreebarriersthathadappliedtotheirclinicalroles.Twobarrierswerejointlyrankedasmost
significant:`notenoughconsultationtime'(45.3%)and`culturalissues/patientbeliefs'(45.3%).The
nextmostcommonbarrierwas`patientdoesn'twanttoinputintotheprocess/patientwantsmeto
makethedecision'with39.1%choosingthisoption.
Q.13 Arethereanylimitationsofshareddecisionmaking?Pleaseselectallthatapply.
Limitations
Response
Noteveryonewantsshareddecisionmaking
64%(n=41)
Noteveryoneisgoodatshareddecisionmaking
32.8%(n=21)
Therearenolimitationstoshareddecisionmaking
18.8%(n=12)
Shareddecisionmakingtakestoomuchtime
10.9%(n=7)
Shareddecisionmakingisnotcompatiblewithclinicalpracticeguidelines
6.2%(n=4)
Other
6.2%(n=4)
Whenaskedaboutpotentiallimitationsofshareddecisionmaking,respondentsweregivenfive
options to choose from. Forty-one nurses (64%) chose `not everyone wants shared decision
making'and21nurses(32.8%)said`noteveryoneisgoodatshareddecisionmaking'.
Implications for education and training around SDM
Q.14 Haveyouhadanyspecifictrainingonthetopicof`shareddecisionmaking'?
Hadanytraining?
Response(n=64)
No
85.9%(n=55)
2016
Yes
9.4%(n=6)
Unsure
4.7%(n=3)
www.nhivna.org
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