I am the person who knows myself best : Perception on shared decision-making among hospitalized people diagnosed with schizophrenia in China

Journal article


Huang, Chongmei, Plummer, Virginia, Wang, Yun, Lam, Louisa and Cross, Wendy. (2020). I am the person who knows myself best : Perception on shared decision-making among hospitalized people diagnosed with schizophrenia in China. International Journal of Mental Health Nursing. 29(5), pp. 846-855. https://doi.org/10.1111/inm.12718
AuthorsHuang, Chongmei, Plummer, Virginia, Wang, Yun, Lam, Louisa and Cross, Wendy
Abstract

Shared decision-making is related to better health outcomes in serious mental illness. It is not well addressed in non-Western cultures, for example Chinese culture. Chinese could be influenced by both paternalism and familism when making treatment decisions. However, this is unexplored. The study purpose is to explore shared decision-making from perspectives of inpatients diagnosed with schizophrenia in China. This study adopted qualitative descriptive approach. Through semi-structured interviews, twelve participants from the psychiatry department of a tertiary hospital shared their perceptions of shared decision-making. An inductive thematic approach was used to analyse the transcripts. Primary results included three main themes with nine subthemes: (1) Having a positive attitude: i) wanting my voice to be heard, ii) needing my family to be involved, and iii) preferring the psychiatrist to decide; (2) Feeling excluded: i) having limited financial capacity, ii) lacking interactive communication, iii) too few psychiatrists, and iv) being unsatisfied with informed consent process; and (3) Self-motivation in decision-making by: i) easing the burden on the family and ii) actively collecting health information. In this context, patients have fewer treatment options and a limited role in SDM. Yet, they have preference for SDM, actively seeking health information from mental health professionals particularly nurses.

Keywordsdecision-making; schizophrenia; mental illnesses; nurses; views
Year2020
JournalInternational Journal of Mental Health Nursing
Journal citation29 (5), pp. 846-855
PublisherJohn Wiley & Sons, Inc.
ISSN1445-8330
Digital Object Identifier (DOI)https://doi.org/10.1111/inm.12718
PubMed ID32250036
Scopus EID2-s2.0-85083044959
Page range846-855
FunderChina Scholarship Council
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online06 Apr 2020
Publication process dates
Accepted26 Feb 2020
Deposited13 Aug 2023
Grant ID[2017] 3109
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