Older Patients’ Involvement in Shared Decision-Making—A Systematic Review

  • Holm A
  • Berland A
  • Severinsson E
Citations of this article
Mendeley users who have this article in their library.


Shared decision-making has been described as allowing patients to gain more control over their life situation and feel less helpless. The aim of this systematic review was to describe the involve-ment of older patients in shared decision-making in community settings. In accordance with the systematic review method, a total of 2468 abstracts were read, after which nine quantitative studies were included. A qualitative thematic analysis was performed and two themes emerged; increased understanding of self-management and a desire to strengthen one's position in rela-tionship with professionals, both of which were essential for empowering older patients to par-ticipate in shared decision-making. Older patients' shared decision-making was seen as a struggle to maintain their autonomy in different areas of everyday life. Emotional and psychological prob-lems made their position more difficult. In order to empower them in relationships with health-care professionals, older patients require more knowledge (self-efficacy) and information about their illness, which could strengthen their position in the decision-making process. They also need a greater awareness of decisional conflicts that may arise. Age, gender and health status influence older patients' chance of being respected and taken seriously in relationship with professionals.




Holm, A. L., Berland, A. K., & Severinsson, E. (2016). Older Patients’ Involvement in Shared Decision-Making—A Systematic Review. Open Journal of Nursing, 06(03), 170–185. https://doi.org/10.4236/ojn.2016.63018

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free