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Abstract

Scopo: La presente ricerca ha la finalití  di esplorare la letteratura che riguarda il modello dello Shared decision making (SDM), in ambito infermieristico.

Metodo: È stata condotta una scoping review. Per la ricerca sono stati consultati i database Medline, CINAHL, The Cochrane Library, Google Scholar, utilizzando le parole chiave: "Decision Making", "Shared Decision Making", "Nursing", "Nursing Patient relationship". La revisione è stata condotta seguendo il modello Levac.

Risultati: Sono stati inclusi 29 articoli, in un range temporale compreso tra il 1972 e il 2015. L'analisi degli articoli ha permesso di definire le caratteristiche del modello dello SDM, gli strumenti utili per la sua implementazione, il vissuto degli assistiti, i vari ambiti di applicazione e l'integrazione tra SDM e la pratica basata sulle prove di efficacia.

Conclusioni: Dall'analisi della letteratura emerge che il modello dello Shared Decision Making è scarsamente diffuso, soprattutto nel contesto italiano. Questo fenomeno potrebbe essere riconducibile a tre aspetti fondamentali. Il concetto non ha avuto ampia diffusione e piena maturití  scientifica. L'applicazione del modello sembra essere legato ad approfondite conoscenze del personale infermieristico agli interventi gold standard e alle possibili alternative. Infine, permangono degli ostacoli di tipo culturale all'applicazione dello SDM.

Parole chiave: Processo decisionale, Infermieri, Assistito, Condivisione, pratica basata sulle prove di efficacia abstract

 

Shared decision making: a scoping review

Aim: This research aimed to explore the literature regarding the model of the Shared Decision Making (SDM) in the field of nursing.

Method: A scoping review was conducted. The electronic literature research was made on Medline, CINAHL, The Cochrane Library, Google Scholar, using a combination of key words: "Decision Making", "Shared Decision Making", "Nursing", "Nursing Patient relationship". The review was carried out following the Levac model.

Results: 29 studies were included, in a time range between 1972 and 2015. The analysis identifies the main characteristics of the SDM model, the tools for its implementation, the patients experience, the fields of application and the integration among SDM e evidence based practice.

Conclusion: the analysis showed that the Shared Decision Making model is not widespread, especially in the Italian context. This phenomenon could be explained by three fundamental aspects. The concept is not widely disseminated and full scientific maturity. His application also seems to be related to extensive knowledge of gold standard interventions and possible alternatives. Finally, there are cultural barriers to the implementation of the SDM.

Keywords:"ˆDecision making, Nurses, Patient, Sharing, Evidence Based Practice

Dettagli dell'articolo

Come citare
Guarinoni, M. G., Dignani, L., & Motta, P. C. (2016). Processo decisionale condiviso: una scoping review. PROFESSIONI INFERMIERISTICHE, 69(3). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/272
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