A qualitative study exploring osteopathic clinic tutors' attitudes toward the shared decision-making model.

Item

Title
A qualitative study exploring osteopathic clinic tutors' attitudes toward the shared decision-making model.
Author(s)
O'Sullivan, A
Abstract
Backqround: The shared decision-making model is increasingly being used in healthcare to improve communication with patients, reinforce informed consent, and enhance patient participation in treatment decisions. Osteopathy is described as patient-centred care, and sharing decisions with patients is essential to achieve this definition, however the GOsC have yet to endorse the model. Many studies recommend training in shared decisionmaking skills at an educational level.  Objective: The objective of this study was to explore the attitudes of osteopathic clinic tutors to the shared decision-making model and add to the discourse surrounding shared decision-making and osteopathy, in order to encourage Osteopathic Education lnstitutions to Design: This study was a qualitative, ethnographical design using elements of grounded theory. Methods: Participants were recruited by email invitation and direct approach. lnclusion factors: Clinic tutors with at least one year experience in the role, who were also working in an osteopathic practice at the time of the study. Semi-structured interviews were conducted and data thematically analysed. Member checking and triangulation took place. Results: Eight padicipants were interviewed. 1T sub-themes emerged from the data which were grouped into 5 high level themes: attitudes toward the shared decision-making model; professional identity; locus of control; educational environment; informed consent. Discussion: Participants' attitudes were similar in some respects to those of wider healthcare practitioners. The shared decision-making model seems appropriate for osteopathy to adopt. Osteopathy can be paternalistic, and patients need support in participating in treatment decisions. Education has been shown to engender shifts in attitude, yet the efficacy of shared decisionmaking training models has not been proved. However, any education rs recommended over none. Active and reflective educational leadership can help promote patient-centeredness in osteopathy. Conclusion: Research within wider healthcare has indicated that patients wish to be involved in treatment decisions. Profession-wide change may be required to encourage partnership with patients. A dialogue needs to be opened between the Gosc, oEl leaders, and members of the profession. Adoption of the shared decision-making model by the Gosc could be a step towards ensunng that future generations of osteopaths have guidance at an educational stage on sharing decisions with their patients.
Date Accepted
2017
Date Submitted
4.12.2017 17:06:21
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
16053
Inst-Identifier
1229
Keywords
Shared-decision-making Osteopathy
Recommended
0
Item sets
Thesis

O'Sullivan, A, “A qualitative study exploring osteopathic clinic tutors' attitudes toward the shared decision-making model.”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathic-research.com/s/orw/item/483