Assisted decision-making and interprofessional collaboration in the care of older people: a qualitative study exploring perceptions of barriers and facilitators in the acute hospital setting Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.1080/13561820.2020.1863342
In recent years, there has been a move toward a more human rights-based approach to the issue of supported and assisted decision-making (ADM) with legislative changes strengthening the formal right for older people to participate in care planning and decision-making. Ireland's Assisted Decision-Making (Capacity) Act, 2015 breaks from traditional views of capacity to consider the uniqueness of each decision in relation to topic, time and place for those with impaired or fluctuating capacity. This study set out to explore experiences of assisted decision making (ADM) in acute care hospitals in Ireland and to identify the barriers and enablers to ADM for older people and people with dementia from the perspective of different Health and Social Care Professionals (HSCPs) involved in their care. We carried out 26 semi-structured audio-recorded interviews with a convenience sample of HSCPs working in two acute hospitals and subsequently confirmed the results. HSCPs identified several barriers to, and enablers of, ADM in acute hospitals that were categorized into three key themes: Building meaningful engagement with older people and their family carers; barriers and enablers associated with interprofessional collaboration and barriers and enablers associated with the environment. Our findings suggest that despite concrete policy and legislative underpinnings to ADM, this was not always evident in practice and suggests the need for specialized education and training on ADM in practice settings.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1080/13561820.2020.1863342
- https://www.tandfonline.com/doi/pdf/10.1080/13561820.2020.1863342?needAccess=true
- OA Status
- bronze
- Cited By
- 16
- References
- 53
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3131950947Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1080/13561820.2020.1863342Digital Object Identifier
- Title
-
Assisted decision-making and interprofessional collaboration in the care of older people: a qualitative study exploring perceptions of barriers and facilitators in the acute hospital settingWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-02-15Full publication date if available
- Authors
-
Sarah Donnelly, Diarmuid Ó Coimín, Deirdre O’Donnell, Éidín Ní Shé, Carmel Davies, Lauren Christophers, Steve Mc Donald, Thilo KrollList of authors in order
- Landing page
-
https://doi.org/10.1080/13561820.2020.1863342Publisher landing page
- PDF URL
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https://www.tandfonline.com/doi/pdf/10.1080/13561820.2020.1863342?needAccess=trueDirect link to full text PDF
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YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://www.tandfonline.com/doi/pdf/10.1080/13561820.2020.1863342?needAccess=trueDirect OA link when available
- Concepts
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Legislature, Nursing, Acute hospital, Acute care, Qualitative research, Perception, Medicine, Psychological intervention, Older people, Health care, Psychology, Sociology, Political science, Gerontology, Social science, Law, NeuroscienceTop concepts (fields/topics) attached by OpenAlex
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16Total citation count in OpenAlex
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2025: 3, 2024: 2, 2023: 4, 2022: 4, 2021: 3Per-year citation counts (last 5 years)
- References (count)
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53Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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