Home care providers' perceptions of shared decision-making with older clients (and their caregivers): A cross-sectional study

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dc.contributor.authorLai, Claudia
dc.contributor.authorHolyoke, Paul
dc.contributor.authorPlourde, Karine V.
dc.contributor.authorYeung, Lily
dc.contributor.authorLégaré, France
dc.date.accessioned2022-07-14T16:31:26Z
dc.date.available2022-07-14T16:31:26Z
dc.date.copyright2022en_US
dc.date.issued2022-04-22
dc.description.abstractInterprofessional care teams can play a key role in supporting older adults (and caregivers) in making informed health decisions, yet shared decision making is not widely practiced in home care. Based on an earlier needs assessment with older adults (and caregivers) with home care experience, we aimed to explore the perceptions of home care teams on the decisions facing their clients and their perceived involvement in shared decision making. A cross-sectional study was conducted with 614 home care providers (nurses, personal support workers, rehabilitation professionals) in three Canadian provinces (Quebec, Ontario, and Alberta). Home care providers considered the decision “to stay at home or move” as the most difficult for older adults. Those most frequently involved in decision making with older adults were family members and least involved were physicians. Although all home care providers reported high levels of shared decision-making, we detected an effect of respondent's discipline on self-perceived shared decision-making; nurses and rehabilitation professionals reported significantly higher levels of shared decision making than personal support workers. A more tailored approach is required to support shared decision making in interprofessional care teams.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe funding source for this work was a Foundation Grant (#FDN-159937) from the Canadian Institutes of Health Research (CIHR)en_US
dc.identifier.citationLai, C., Holyoke, P., Plourde, K. V., Yeung, L., & Légaré, F. (2022). Home care providers' perceptions of shared decision-making with older clients (and their caregivers): A cross-sectional study. Nursing & Health Sciences, 24(2), 487– 498. https://doi.org/10.1111/nhs.12946en_US
dc.identifier.urihttps://doi.org/10.1111/nhs.12946
dc.identifier.urihttp://hdl.handle.net/1828/14057
dc.language.isoenen_US
dc.publisherNursing & Health Sciencesen_US
dc.subjectaged
dc.subjectaged, 80 and over
dc.subjectallied health personnel
dc.subjectdecision making shared
dc.subjecthome care services
dc.subjectparticipatory research
dc.subjectpersonal support workers
dc.subject.departmentSchool of Health Information Science
dc.titleHome care providers' perceptions of shared decision-making with older clients (and their caregivers): A cross-sectional studyen_US
dc.typeArticleen_US

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