Communication practices that encourage and constrain shared decision making in health-care encounters: Systematic review of conversation analytic research

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Victoria LandJane Seymour

Abstract

Shared decision making (SDM) is generally treated as good practice in health-care interactions. Conversation analytic research has yielded detailed findings about decision making in health-care encounters. To map decision making communication practices relevant to health-care outcomes in face-to-face interactions yielded by prior conversation analyses, and to examine their function in relation to SDM. We searched nine electronic databases (last search November 2016) and our own and other academics' collections. Published conversation analyses (no restriction on publication dates) using recordings of health-care encounters in English where the patient (and/or companion) was present and where the data and analysis focused on health/illness-related decision making. We extracted study characteristics, aims, findings relating to communication practices, how these functioned in relation to SDM, and internal/external validity issues. We synthesised findings aggregatively. Twenty-eight publications met the inclusion criteria. We sorted findings into 13 types of communication practices and organized these in relation to four elements of decision-making sequences: (i) broaching decision making; (ii) putting forward a course of action; (i...Continue Reading

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Citations

Apr 24, 2018·Research in Nursing & Health·Kristen E Pecanac
Aug 21, 2018·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Glykeria SkamagkiCharlotte Wåhlin
Feb 7, 2018·International Journal of Qualitative Studies on Health and Well-being·Ulla-Karin SchönPetra Svedberg
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Aug 27, 2021·Health Communication·Kristen E PecanacElizabeth Stephens

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