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Background <p>Although shared decision-making (SDM) has been widely recommended in clinical guidelines, it is not implemented in practice. In early 2024, managers of a centre (home for care or residence, HVB) in Sweden decided to implement SDM. Researchers arranged an intensive course that included training in SDM, which was offered to all users, staff members and managers at the centre.</p> Aim <p>To explore the experiences of users, staff members and managers when SDM was introduced at a centre for women suffering from mental illness.</p> Method and Results <p>After introducing SDM, persons who had experience as users of mental health services conducted individual interviews with users, staff members and managers. The data were transcribed automatically during the video interviews. The data were analysed using thematic analysis, and the results represent three different aspects. <i>Users:</i> Previous experience is important, Attitudes to participation and What is needed for continuation. <i>Staff:</i> Ability to increase participation and SDM as an integrated way of working. <i>Managers:</i> Changes in the care atmosphere and Management during the introduction.</p> Relevance <p>Research concerning people staying at HVBs is scarce, as is research on SDM concerning adults with severe mental illness. It is important to highlight the needs of this group, as participation today and in the future is an important and often overlooked aspect for these users.</p>

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Implementing Shared Decision-Making as Part of a Recovery-Oriented Practice at a Home for Care or Residence for People with Severe Mental Illness

  • 期刊论文

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  • 发表日期：

    2025年1月23日

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  • Maria Bendtsen Kronkvist,
  • Patrik Dahlqvist-Jönsson,
  • Mikael Sandlund

摘要

Background

Although shared decision-making (SDM) has been widely recommended in clinical guidelines, it is not implemented in practice. In early 2024, managers of a centre (home for care or residence, HVB) in Sweden decided to implement SDM. Researchers arranged an intensive course that included training in SDM, which was offered to all users, staff members and managers at the centre.

Aim

To explore the experiences of users, staff members and managers when SDM was introduced at a centre for women suffering from mental illness.

Method and Results

After introducing SDM, persons who had experience as users of mental health services conducted individual interviews with users, staff members and managers. The data were transcribed automatically during the video interviews. The data were analysed using thematic analysis, and the results represent three different aspects. Users: Previous experience is important, Attitudes to participation and What is needed for continuation. Staff: Ability to increase participation and SDM as an integrated way of working. Managers: Changes in the care atmosphere and Management during the introduction.

Relevance

Research concerning people staying at HVBs is scarce, as is research on SDM concerning adults with severe mental illness. It is important to highlight the needs of this group, as participation today and in the future is an important and often overlooked aspect for these users.