Exploring stakeholder perspectives to facilitate the implementation of shared decision-making in coordinated individual care planning

IF 1.4 3区社会学 Q2 SOCIAL WORK

European Journal of Social Work Pub Date : 2023-11-16 DOI:10.1080/13691457.2023.2281868

Peter Andersson, Ulla-Karin Schön, P. Svedberg, Katarina Grim

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Abstract

This article explores conditions for implementing shared decision-making (SDM) in coordinated individual care planning (CIP) with individuals with complex mental health needs. SDM in CIP are described as central, although such user centred collaboration still remains to be realised. Research underlines the need for a changed way of working, where user expertise is valued and a balance of power is promoted. The aim of the present study is to investigate the conditions for implementing SDM in connection with CIP for and with people with mental illness. To better understand the context and conditions that can promote such an implementation, altogether 15 participants were interviewed in three regions in Sweden within the scope of a stakeholder analysis. Both hindering and supporting factors were identi ﬁ ed with respect to an implementation process, such as sta ﬀ turnover, di ﬀ erences in work culture and committed leadership. Further focus should be directed speci ﬁ cally towards professionals working more closely with CIP and towards in-depth analysis of the construct of culture in terms of implementation processes

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探索利益相关者的观点，促进在协调的个人护理规划中实施共同决策

本文探讨了在协调个人护理计划（CIP）中对有复杂心理健康需求的个人实施共同决策（SDM）的条件。虽然这种以用户为中心的合作仍有待实现，但 CIP 中的 SDM 被描述为核心。研究强调，需要改变工作方式，重视用户的专业知识，促进权力平衡。本研究的目的是调查为精神病患者和与精神病患者一起在 CIP 中实施 SDM 的条件。为了更好地了解促进这种实施的背景和条件，在利益相关者分析的范围内，对瑞典三个地区的 15 名参与者进行了访谈。在实施过程中，既发现了阻碍因素，也发现了支持因素，如人员流动、工作文化差异和坚定的领导力。应进一步关注与 CIP 紧密合作的专业人员，并从实施过程的角度深入分析文化建设。

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

European Journal of Social Work SOCIAL WORK-

CiteScore

3.50

自引率

20.00%

发文量

期刊介绍： The European Journal of Social Work provides a forum for the social professions in all parts of Europe and beyond. It analyses and promotes European and international developments in social work, social policy, social service institutions, and strategies for social change by publishing refereed papers on contemporary key issues. Contributions include theoretical debates, empirical studies, research notes, country perspectives, and reviews. It maintains an interdisciplinary perspective which recognises positively the diversity of cultural and conceptual traditions in which the social professions of Europe are grounded. In particular it examines emerging European paradigms in methodology and comparative analysis.