Shared decision-making for people living with dementia in extended care settings: A systematic review

81Citations
Citations of this article
191Readers
Mendeley users who have this article in their library.

Abstract

Background Shared decision-making is recognised as an important element of person-centred dementia care. Objectives The aim of this review was to explore how people living with dementia and cognitive impairment can be included in day-to-day decisions about their health and care in extended care settings. Design A systematic review including primary research relating to shared decision-making, with cognitively impaired adults in (or transferrable to) extended care settings. Databases searched were: CINAHL, PubMed, the Cochrane Library, NICE Evidence, OpenGrey, Autism Data, Google Scholar, Scopus and Medicines Complete (June to October 2016 and updated 2018) for studies published in the last 20 years. Results Of the 19 included studies 15 involved people with living dementia, seven in extended care settings. People living with cognitive impairment often have the desire and ability to participate in decision-making about their everyday care, although this is regularly underestimated by their staff and family care partners. Shared decision-making has the potential to improve quality of life for both the person living with dementia and those who support them. How resources to support shared decision-making are implemented in extended care settings is less well understood. Conclusions Evidence suggests that people living with cognitive impairment value opportunities to be involved in everyday decision-making about their care. How these opportunities are created, understood, supported and sustained in extended care settings remains to be determined.

References Powered by Scopus

Using thematic analysis in psychology

110442Citations
N/AReaders
Get full text

Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement

17477Citations
N/AReaders
Get full text

Barriers and facilitators to implementing shared decision-making in clinical practice: Update of a systematic review of health professionals' perceptions

952Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Shared decision-making for people living with dementia in extended care settings: A systematic review

81Citations
N/AReaders
Get full text

Advance care planning in dementia: recommendations for healthcare professionals

80Citations
N/AReaders
Get full text

Approaches to Deprescribing Psychotropic Medications for Changed Behaviours in Long-Term Care Residents Living with Dementia

45Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Daly, R. L., Bunn, F., & Goodman, C. (2018, June 1). Shared decision-making for people living with dementia in extended care settings: A systematic review. BMJ Open. BMJ Publishing Group. https://doi.org/10.1136/bmjopen-2017-018977

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 49

58%

Researcher 19

23%

Lecturer / Post doc 9

11%

Professor / Associate Prof. 7

8%

Readers' Discipline

Tooltip

Nursing and Health Professions 31

36%

Medicine and Dentistry 20

23%

Social Sciences 19

22%

Psychology 16

19%

Article Metrics

Tooltip
Social Media
Shares, Likes & Comments: 66

Save time finding and organizing research with Mendeley

Sign up for free