Shared decision‐making for women facing an unplanned pregnancy: A qualitative study

Yoko Ueno, Mayumi Kako, Mitsuko Ohira and Hitoshi Okamura

Nursing & Health Sciences, 2020, vol. 22, issue 4, 1186-1196

Abstract: This study aimed to explore the competencies of health care practitioners who promote shared decision‐making (SDM)–based care for women facing an unplanned pregnancy in Japan. We conducted semistructured interviews with 12 care providers who are pioneers in care for women facing an unplanned pregnancy and adopted a modified grounded theory approach for data analysis. A three‐step model for shared decision making in practice (team talk, option talk, and decision talk) was used as a reference. The answers given by the care providers were analyzed to identify the competencies involved in shared decision making. We identified three stages: (i) building trust and promoting women's expression; (ii) discussing women's real needs; and (iii) exploring the intentions and goals expressed by women and finding the best choices while promoting women's autonomy in decision‐making. The coordination between the support of partners, families, and professionals, and the care provided to strengthen women's identities facilitated shared decision making. Women facing an unplanned pregnancy can benefit from interventions designed to improve shared decision making. A key component of shared decision making‐based care relates to practitioners' raised awareness toward their roles and responsibilities: developing good communication skills and fostering collaboration between all stakeholders.

Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1111/nhs.12791

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:nuhsci:v:22:y:2020:i:4:p:1186-1196

Access Statistics for this article

More articles in Nursing & Health Sciences from John Wiley & Sons
Bibliographic data for series maintained by Wiley Content Delivery ().