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dc.creatorKaminskiy, Emma
dc.creatorZisman-Ilani, Yaara
dc.creatorMorant, Nicola
dc.creatorRamon, Shulamit
dc.date.accessioned2024-01-03T20:46:23Z
dc.date.available2024-01-03T20:46:23Z
dc.date.issued2021-06-17
dc.identifier.citationKaminskiy E, Zisman-Ilani Y, Morant N and Ramon S (2021) Barriers and Enablers to Shared Decision Making in Psychiatric Medication Management: A Qualitative Investigation of Clinician and Service Users' Views. Front. Psychiatry 12:678005. doi: 10.3389/fpsyt.2021.678005
dc.identifier.issn1664-0640
dc.identifier.urihttp://hdl.handle.net/20.500.12613/9500
dc.description.abstractShared decisionmaking (SDM) is a recommended health communication approach in mental health settings. Yet, implementation of SDM in psychiatric consultations discussing medication management is challenging. Insufficient attention has been given to examine the views of both clinicians and service users together about the experiences of SDM in psychiatric medication management. The purpose of this paper is to examine the views of service users, community psychiatric nurses, and psychiatrists about enablers and barriers of SDM. A thematic analysis of 30 semi structured interviews with service users, psychiatrists, and community psychiatric nurses, in a community mental health team in the UK, was conducted. A service user advisory group was involved in all phases of the research cycle, including data collection, analysis, and dissemination. The results offer a detailed contextualized account of how medication decisions are made. For psychiatrists and service user participants SDM is seen as a way of enhancing service users' engagement in and control over treatment decisions. While psychiatrists value the transactional benefits of SDM, service user participants and psychiatric nurses conceptualize SDM as a long-term endeavor embedded within therapeutic partnerships. For service users these partnerships mitigate acknowledged problems of feeling unable to be fully involved during times of crisis. This study identified a range of barriers and facilitators to SDM concerning psychiatric medications from the lived experience of service users and the professional experience of clinicians. Furthermore, it indicates new potential intervention points to support SDM in psychiatric medication decisions.
dc.format.extent14 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartFrontiers in Psychiatry, Vol. 12
dc.relation.isreferencedbyFrontiers Media
dc.rightsAttribution CC BY
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectShared decision making
dc.subjectBarriers
dc.subjectFacilitators
dc.subjectCo-production
dc.subjectMedication
dc.subjectPsychiatry
dc.subjectCoercion
dc.subjectStigma
dc.titleBarriers and Enablers to Shared Decision Making in Psychiatric Medication Management: A Qualitative Investigation of Clinician and Service Users' Views.
dc.typeText
dc.type.genreJournal article
dc.description.departmentSocial and Behavioral Sciences
dc.relation.doihttps://doi.org/10.3389/fpsyt.2021.678005
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeTemple University. College of Public Health
dc.creator.orcidZisman-Ilani|0000-0001-6852-2583
dc.temple.creatorZisman-Ilani, Yaara
refterms.dateFOA2024-01-03T20:46:23Z


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