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dc.contributor.authorDaly, Rachel
dc.contributor.authorBunn, Frances
dc.contributor.authorGoodman, Claire
dc.date.accessioned2018-06-28T16:01:13Z
dc.date.available2018-06-28T16:01:13Z
dc.date.issued2018-06-09
dc.identifier.citationDaly , R , Bunn , F & Goodman , C 2018 , ' Shared decision-making for people living with dementia in extended care settings: a systematic review ' , BMJ Open , vol. 8 , no. 6 , e018977 . https://doi.org/10.1136/bmjopen-2017-018977
dc.identifier.issn2044-6055
dc.identifier.otherPURE: 13675130
dc.identifier.otherPURE UUID: b81ae1fb-079d-40f9-82a2-bd6c49204354
dc.identifier.otherScopus: 85053124750
dc.identifier.urihttp://hdl.handle.net/2299/20217
dc.descriptionThis is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
dc.description.abstractBackground 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.en
dc.language.isoeng
dc.relation.ispartofBMJ Open
dc.subjectMedicine(all)
dc.titleShared decision-making for people living with dementia in extended care settings: a systematic reviewen
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.institutionSchool of Health and Social Work
dc.contributor.institutionWeight and Obesity Research Group
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85053124750&partnerID=8YFLogxK
dc.identifier.urlhttp://bmjopen.bmj.com/content/8/6/e018977.full?ijkey=bgf06XjCgrSkM81&keytype=ref
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1136/bmjopen-2017-018977
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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