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dc.contributor.authorBunn, Frances
dc.contributor.authorGoodman, Claire
dc.contributor.authorRussell, Bridget
dc.contributor.authorDavies, Susan
dc.date.accessioned2017-03-14T18:20:54Z
dc.date.available2017-03-14T18:20:54Z
dc.date.issued2017-02-07
dc.identifier.citationBunn , F , Goodman , C , Russell , B & Davies , S 2017 , ' Supporting shared decision-making for older people with multiple health and social care needs: a protocol for a realist synthesis to inform integrated care models ' , BMJ Open , vol. 7 , no. 2 , e014026 . https://doi.org/10.1136/bmjopen-2016-014026
dc.identifier.issn2044-6055
dc.identifier.otherPURE: 11154463
dc.identifier.otherPURE UUID: 2bde282e-f490-41b1-94de-68e197bdcb96
dc.identifier.otherScopus: 85012066304
dc.identifier.urihttp://hdl.handle.net/2299/17716
dc.descriptionThis is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons.org/licenses/by-nc/4.0/ Francess Bunn, Claire Goodman, Jill Manthorpe, Marie-Anne Durand, Isabel Hodkinson, Greta Rait, Pul Millac, Sue L Davies, Bridget Russell, and Patricia Wilson, 'Supporting shared decision-making for older people with multiple health and social care needs: a protocol for a realist synthesis to inform integrated care models', BMJ Open, Vol. 7(2), e014026, published 1 February 2017. The version of record is available online at doi: 10.1136/bmjopen-2016-014026 Published by BMJ Publishing Group Limited.
dc.description.abstractIntroduction: Including the patient or user perspective is a central organising principle of integrated care. Moreover, there is increasing recognition of the importance of strengthening relationships among patients, carers and practitioners, particularly for individuals receiving substantial health and care support, such as those with long-term or multiple conditions. The overall aims of this synthesis are to provide a context-relevant understanding of how models to facilitate shared decision-making (SDM) might work for older people with multiple health and care needs, and how they might be applied to integrated care models. Methods and analysis: The synthesis draws on the principles of realist inquiry, to explain how, in what contexts and for whom, interventions that aim to strengthen SDM among older patients, carers and practitioners are effective. We will use an iterative, stakeholder-driven, three-phase approach. Phase 1: development of programme theory/theories that will be tested through a first scoping of the literature and consultation with key stakeholder groups; phase 2: systematic searches of the evidence to test and develop the theories identified in phase 1; phase 3: validation of programme theory/theories with a purposive sample of participants from phase 1. The synthesis will draw on prevailing theories such as candidacy, self-efficacy, personalisation and coproduction. Ethics and dissemination: Ethics approval for the stakeholder interviews was obtained from the University of Hertfordshire ECDA (Ethics Committee with Delegated Authority), reference number HSK/SF/UH/02387. The propositions arising from this review will be used to develop recommendations about how to tailor SDM interventions to older people with complex health and social care needs in an integrated care setting.en
dc.language.isoeng
dc.relation.ispartofBMJ Open
dc.rights/dk/atira/pure/core/openaccesspermission/open
dc.titleSupporting shared decision-making for older people with multiple health and social care needs: a protocol for a realist synthesis to inform integrated care modelsen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionEvidence Based Practice
dc.contributor.institutionNursing, Midwifery and Social Work
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionWeight and Obesity Research Group
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2017-01-11
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1136/bmjopen-2016-014026
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeopenAccess


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