Matches in SemOpenAlex for { <https://semopenalex.org/work/W4246234564> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W4246234564 endingPage "e20" @default.
- W4246234564 startingPage "e20" @default.
- W4246234564 abstract "BACKGROUND: Discussions between physicians and families facing the anticipated birth of an extremely premature infant (22-25 weeks) are complex. The use of shared decision making (SDM) can support reaching a preference sensitive decision. A guideline was created to enhance SDM to facilitate decision making and increase parental and healthcare provider satisfaction with the process. Little is known about the applicability of SDM, how healthcare providers conceptualize it in their practice, or about facilitators and barriers to implementing this process during antenatal counselling for anticipated extremely preterm birth. OBJECTIVES: The purpose of this project was to explore healthcare providers’ perceptions of and perspectives about using SDM within this clinical area. DESIGN/METHODS: We examined data from a larger implementability assessment study during a pilot test of the above guideline. The study consisted of qualitative interviews with 25 healthcare providers (neonatologists and neonatal fellows, maternal fetal medicine specialists and fellows, obstetricians, paediatric and obstetric residents, birthing unit nurses, and neonatal nurses) involved in 5 cases at a tertiary care centre (October-November 2015). Semi-structured interviews were conducted over the phone or in person, and transcribed verbatim. Qualitative content analysis was used to code, categorize, and thematically describe the data. RESULTS: Many participants understood and correctly described established elements of the SDM approach. A number had positive perspectives about this model of decision making and its usefulness in this clinical context. These participants valued SDM as an effective strategy to engage parents during the decision making process. Several participants challenged the usefulness of SDM and expressed concern that this approach increased decision making difficulties. Misunderstandings of this approach were also demonstrated, concerning the premise of SDM and the physician’s role in this process. Examples of perceived barriers to the use of SDM during antenatal counselling included: timing of consults (at night or under stress), increased time needed for proper SDM, fear of creating false parental hope and misunderstandings regarding infants’ long term needs, uncertainty towards use at 22 weeks, and concerns about burdening parents with this decision. CONCLUSION: This study has identified healthcare providers’ diverse perceptions and perspectives about SDM and various factors that influence whether members of the healthcare team value SDM or are reluctant to engage in it during antenatal counselling for anticipated preterm birth. Addressing these misperceptions and barriers will help to facilitate improved implementation of this decision making model in the current setting and other facilities in the future." @default.
- W4246234564 created "2022-05-12" @default.
- W4246234564 creator A5007217895 @default.
- W4246234564 creator A5013062844 @default.
- W4246234564 creator A5032695314 @default.
- W4246234564 creator A5064607198 @default.
- W4246234564 creator A5072376098 @default.
- W4246234564 creator A5076480335 @default.
- W4246234564 creator A5091112833 @default.
- W4246234564 date "2017-05-26" @default.
- W4246234564 modified "2023-09-27" @default.
- W4246234564 title "EXPLORING SHARED DECISION MAKING DURING ANTENATAL COUNSELLING FOR ANTICIPATED EXTREMELY PRETERM BIRTH" @default.
- W4246234564 doi "https://doi.org/10.1093/pch/pxx086.051" @default.
- W4246234564 hasPublicationYear "2017" @default.
- W4246234564 type Work @default.
- W4246234564 citedByCount "0" @default.
- W4246234564 crossrefType "journal-article" @default.
- W4246234564 hasAuthorship W4246234564A5007217895 @default.
- W4246234564 hasAuthorship W4246234564A5013062844 @default.
- W4246234564 hasAuthorship W4246234564A5032695314 @default.
- W4246234564 hasAuthorship W4246234564A5064607198 @default.
- W4246234564 hasAuthorship W4246234564A5072376098 @default.
- W4246234564 hasAuthorship W4246234564A5076480335 @default.
- W4246234564 hasAuthorship W4246234564A5091112833 @default.
- W4246234564 hasBestOaLocation W42462345641 @default.
- W4246234564 hasConcept C111472728 @default.
- W4246234564 hasConcept C138885662 @default.
- W4246234564 hasConcept C142724271 @default.
- W4246234564 hasConcept C144024400 @default.
- W4246234564 hasConcept C151730666 @default.
- W4246234564 hasConcept C156325361 @default.
- W4246234564 hasConcept C15744967 @default.
- W4246234564 hasConcept C159110408 @default.
- W4246234564 hasConcept C160735492 @default.
- W4246234564 hasConcept C162324750 @default.
- W4246234564 hasConcept C169760540 @default.
- W4246234564 hasConcept C190248442 @default.
- W4246234564 hasConcept C26760741 @default.
- W4246234564 hasConcept C2778707766 @default.
- W4246234564 hasConcept C2779343474 @default.
- W4246234564 hasConcept C2780182762 @default.
- W4246234564 hasConcept C36289849 @default.
- W4246234564 hasConcept C41895202 @default.
- W4246234564 hasConcept C50522688 @default.
- W4246234564 hasConcept C509550671 @default.
- W4246234564 hasConcept C512399662 @default.
- W4246234564 hasConcept C71924100 @default.
- W4246234564 hasConcept C86803240 @default.
- W4246234564 hasConcept C94124525 @default.
- W4246234564 hasConceptScore W4246234564C111472728 @default.
- W4246234564 hasConceptScore W4246234564C138885662 @default.
- W4246234564 hasConceptScore W4246234564C142724271 @default.
- W4246234564 hasConceptScore W4246234564C144024400 @default.
- W4246234564 hasConceptScore W4246234564C151730666 @default.
- W4246234564 hasConceptScore W4246234564C156325361 @default.
- W4246234564 hasConceptScore W4246234564C15744967 @default.
- W4246234564 hasConceptScore W4246234564C159110408 @default.
- W4246234564 hasConceptScore W4246234564C160735492 @default.
- W4246234564 hasConceptScore W4246234564C162324750 @default.
- W4246234564 hasConceptScore W4246234564C169760540 @default.
- W4246234564 hasConceptScore W4246234564C190248442 @default.
- W4246234564 hasConceptScore W4246234564C26760741 @default.
- W4246234564 hasConceptScore W4246234564C2778707766 @default.
- W4246234564 hasConceptScore W4246234564C2779343474 @default.
- W4246234564 hasConceptScore W4246234564C2780182762 @default.
- W4246234564 hasConceptScore W4246234564C36289849 @default.
- W4246234564 hasConceptScore W4246234564C41895202 @default.
- W4246234564 hasConceptScore W4246234564C50522688 @default.
- W4246234564 hasConceptScore W4246234564C509550671 @default.
- W4246234564 hasConceptScore W4246234564C512399662 @default.
- W4246234564 hasConceptScore W4246234564C71924100 @default.
- W4246234564 hasConceptScore W4246234564C86803240 @default.
- W4246234564 hasConceptScore W4246234564C94124525 @default.
- W4246234564 hasIssue "suppl_1" @default.
- W4246234564 hasLocation W42462345641 @default.
- W4246234564 hasLocation W42462345642 @default.
- W4246234564 hasLocation W42462345643 @default.
- W4246234564 hasOpenAccess W4246234564 @default.
- W4246234564 hasPrimaryLocation W42462345641 @default.
- W4246234564 hasRelatedWork W1967783546 @default.
- W4246234564 hasRelatedWork W2053222733 @default.
- W4246234564 hasRelatedWork W2111549476 @default.
- W4246234564 hasRelatedWork W2122072511 @default.
- W4246234564 hasRelatedWork W2148291855 @default.
- W4246234564 hasRelatedWork W2192462668 @default.
- W4246234564 hasRelatedWork W2390459203 @default.
- W4246234564 hasRelatedWork W2748952813 @default.
- W4246234564 hasRelatedWork W2899084033 @default.
- W4246234564 hasRelatedWork W4249487090 @default.
- W4246234564 hasVolume "22" @default.
- W4246234564 isParatext "false" @default.
- W4246234564 isRetracted "false" @default.
- W4246234564 workType "article" @default.