[Home support for vulnerable older people: from shared decision-making to negotiation : A qualitative pilot study].

IF 0.4 4区医学 Q4 PSYCHIATRY Geriatrie et Psychologie Neuropsychiatrie De Vieillissement Pub Date : 2024-06-01 DOI:10.1684/pnv.2024.1172

Esther Sansone, Carla Di Martino, Jean-Baptiste Beuscart, Céline Delecluse, Aurélie Cassarin-Grand, Vincent Caradec, Christine Moroni

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Abstract

Shared decision-making allows older people to discuss and change their care with informal caregivers and healthcare professionals. When opinions differ, an older person's decision-making ability can be compromised by many factors. The objective of this qualitative pilot study was to study the dynamics of shared decision-making in home care support for vulnerable older people. Observations were carried out at the older people's homes during appointments with the network's healthcare professionals. Semi structured interviews were then conducted with older people, caregivers and healthcare professionals observed. When opinions differ, negotiation dynamics then develop between older people, caregivers and healthcare professionals. Using a dedicated negotiation framework, we identified four types of negotiation between the stakeholders in home care decision-making, influenced by various articulations of individual, collective and environmental factors.

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[为弱势老年人提供家庭支持：从共同决策到协商：定性试点研究]。

共同决策允许老年人与非正式护理人员和医疗保健专业人员讨论并改变他们的护理方式。当意见不一致时，老年人的决策能力可能会受到多种因素的影响。这项定性试点研究的目的是研究在为弱势老年人提供家庭护理支持时共同决策的动态过程。研究人员在老年人家中与该网络的医疗保健专业人员会面时进行了观察。然后，与被观察的老年人、护理人员和医疗保健专业人员进行了半结构式访谈。当意见出现分歧时，老年人、护理人员和医疗保健专业人员之间就会形成谈判态势。利用专门的协商框架，我们确定了家庭护理决策中利益相关者之间的四种协商类型，它们受到个人、集体和环境因素的不同影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrie et Psychologie Neuropsychiatrie De Vieillissement PSYCHIATRY-PSYCHOLOGY

CiteScore

0.70

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.