tailieunhanh - báo cáo khoa học: " Exploring dietitians’ salient beliefs about shared decision-making behaviors"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Exploring dietitians’ salient beliefs about shared decision-making behaviors | Desroches et al. Implementation Science 2011 6 57 http content 6 1 57 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Exploring dietitians salient beliefs about shared decision-making behaviors Sophie Desroches1 2 Annie Lapointe 1 Sarah-Maude Deschenes1 2 Marie-Pierre Gagnon1 3 and France Légaré1 4 Abstract Background Shared decision making SDM a process by which health professionals and patients go through the decision-making process together to agree on treatment is a promising strategy for promoting diet-related decisions that are informed and value based and to which patients adhere well. The objective of the present study was to identify dietitians salient beliefs regarding their exercise of two behaviors during the clinical encounter both of which have been deemed essential for SDM to take place 1 presenting patients with all dietary treatment options for a given health condition and 2 helping patients clarify their values and preferences regarding the options. Methods Twenty-one dietitians were allocated to four focus groups. Facilitators conducted the focus groups using a semistructured interview guide based on the Theory of Planned Behavior. Discussions were audiotaped transcribed verbatim coded and analyzed with NVivo8 QSR International Cambridge MA software. Results Most participants stated that better patient adherence to treatment was an advantage of adopting the two SDM behaviors. Dietitians identified patients physicians and the multidisciplinary team as normative referents who would approve or disapprove of their adoption of the SDM behaviors. The most often reported barriers and facilitators for the behaviors concerned patients characteristics patients clinical situation and time. Conclusions The implementation of SDM in nutrition clinical practice can be guided by addressing dietitians salient beliefs. Identifying these beliefs also provides the theoretical framework needed for developing a .