Evidence map›Paper›PMID 31958279›Full record

ArticleRMD open2020

Exploring healthcare professionals' knowledge, attitudes and experiences of shared decision making in rheumatology.

Elke G E Mathijssen, Bart J F van den Bemt, Sabien Wielsma, Frank H J van den Hoogen, Johanna E Vriezekolk

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Exploring motivations and resistances for implementing shared decision-making in clinical practice: A systematic review based on a structure-process-outcome model.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
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  15. Shared decision making in sarcopenia treatment.Frontiers in public health · 2023
    Review
  16. Patient Involvement in Shared Decision-Making: Do Patients Rate Physicians and Nurses Differently?International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Elke G E MathijssenRheumatology, Sint Maartenskliniek, Nijmegen, the Netherlands e.mathijssen@maartenskliniek.nl.ORCID 0000-0001-8019-4818
Bart J F van den BemtPharmacy, Sint Maartenskliniek, Nijmegen, the Netherlands.
Sabien WielsmaRheumatology, Sint Maartenskliniek, Nijmegen, the Netherlands.
Frank H J van den HoogenRheumatology, Sint Maartenskliniek, Nijmegen, the Netherlands.
Johanna E VriezekolkRheumatology, Sint Maartenskliniek, Nijmegen, the Netherlands.
Sint Maartenskliniek · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore physicians' and nurses' knowledge, attitudes and experiences of shared decision making (SDM) in rheumatology, to identify barriers and facilitators to SDM, and to examine whether physicians' and nurses' perspectives of SDM differ.

methodsA cross-sectional, exploratory, online survey was used. Besides demographic characteristics, healthcare professionals' knowledge, attitudes and experiences of SDM in rheumatology were assessed. Barriers and facilitators to SDM were identified from healthcare professionals' answers. Descriptive statistics were computed and differences between physicians' and nurses' perspectives of SDM were examined with a t-test or Fisher's exact test, as appropriate.

resultsBetween April and June 2019, 77 physicians and 70 nurses completed the survey. Although most healthcare professionals lacked a full conceptual understanding of SDM, almost all physicians (92%) and all nurses had a (very) positive attitude toward SDM, which was most frequently motivated by the belief that SDM improves patients' treatment adherence. The majority (>50%) of healthcare professionals experienced problems with the application of SDM in clinical practice, mostly related to time constraints. Other important barriers were the incompatibility of SDM with clinical practice guidelines and beliefs that patients do not prefer to be involved in decision making or are not able to take an active role. Modest differences between physicians' and nurses' perspectives of SDM were found.

conclusionsThere is a clear need for education and training that equips and empowers healthcare professionals to apply SDM. Furthermore, the commitment of time, resources and financial support for national, regional and organisational initiatives is needed to make SDM in rheumatology a practical reality.

Indexed as

Attitude of Health PersonnelDecision Making, SharedHealth Knowledge, Attitudes, PracticeRheumatologyAdultCross-Sectional StudiesFemaleHealth PersonnelHumansMaleMiddle AgedMotivationNetherlandsSurveys and Questionnairesnursingqualitative researchtreatment

Identifiers

PMID31958279
PMCPMC7046943
OpenAlexW2999572712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.