Nurses are in favour of shared decision-making with patients on treatment, but tend to use it to support their own decisions, rather than how way it was intended by policy makers,say researchers.
The study interviewed 20 practice nurses on their approach to decision-making in asthma consultations.
Despite holding positive views about shared decision-making, nurses only offered opportunity for share decisions on inhalers based on their pre-selected recommendations.
The authors said: “Shared decision making was used as a tool to support the nurses’ agenda, rather than as a natural expression of equality between the nurse and patient.”
- Upton, J et al. Shared decision making or paternalism in nursing consultations? A qualitative study of primary care asthma nurses’ views on sharing decisions with patients regarding inhaler device selection. Health Expectations 2011; Advance online publication.
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