Category | Stakeholder | Facilitators (Nr. of articles) | Barriers (Nr. of articles) |
---|---|---|---|
Attitude and Behavior | Patient factors | Active behavior (9) | Depending on family or healthcare personnel (6) |
Confidence in participating in decisional involvement (3) | Not having a choice (4) | ||
Wanting to be informed or demanding more information (7) | Not wanting to participate in decision-making (4) | ||
Wanting to be involved through decisional participation (9) Being enabled to ask questions and make decisions (2) | Passive behavior (6) | ||
Submissive behavior (3) Being overstrained (2) Discomfort due to too much involvement (1) | |||
Healthcare personnel factors | No decisional involvement of patients (6) | ||
No treatment or information involvement of patients (5) | |||
Trust and Power | Patient factors | Exercising power and dominance (6) | Asymmetric power relationship (4) |
Unknown healthcare provider (3) | Fear of incompliance (1) | ||
Feeling controlled (1) | |||
Feeling incapacitated (2) | |||
Feeling powerless / Having no control (3) | |||
Institution of power and/or trust (1) | |||
Passive behavior (6) | |||
Submission towards healthcare personnel (3) | |||
Submissive communication semantics (2) | |||
Submissive behavior (3) | |||
Trust towards healthcare personnel (4) | |||
Unknown healthcare provider (4) | |||
Healthcare personnel factors | Asymmetric power relationship (4) | ||
Exercising power and dominance (5) | |||
No treatment or information involvement of patients (5) | |||
Decision-making interaction factors | Asymmetric power relationship (4) | ||
Trust towards healthcare personnel (4) | |||
Unknown healthcare provider (4) | |||
Knowledge and Communication | Patient factors | Adequate medical knowledge (1) | Depending on family or healthcare personnel (6) |
Being offered a choice (1) | Ease of non-involvement (1) | ||
Internet as source for medical information (2) | Knowledge/Competence asymmetry (5) | ||
Medical knowledge is not required (2) | Lack of medical or treatment related knowledge (5) | ||
Supporting family involvement (1) | Prior misinformation through family, friends, internet or other sources (1) | ||
Wanting to be informed or demanding more information (7) | Submissive communication semantics (2) | ||
Wanting to be involved through decisional participation (9) | |||
Wanting to express themselves, issue opinions and preferences and to be heard (6) Satisfying information sharing (3) | |||
Healthcare personnel factors | Comprehensive communication (1) | Dominant communication semantics (2) Linguistic issues (3) No treatment or information involvement of patients (5) | |
Decision-making interaction factors | Diverging perceptions of health condition, treatment or surgical outcome (1) | ||
Knowledge/Competence asymmetry (5) | |||
Healthcare system /organizational factors | No treatment or information involvement of patients (5) | ||
Treatment Organization and Risk | Patient factors | Alternative choices / Ambiguity (2) Satisfying information sharing (3) Treatment satisfaction (3) Satisfying involvement (2) Diminution of decisional conflict (1) | Facing different treatment strategies (1) |
Timely treatment necessity (2) | |||
Treatment related dismissal of decisional involvement (5) | |||
Healthcare personnel factors | Facing different treatment strategies (1) | ||
Time pressure (5) | |||
Decision-making interaction factors | SDM mediator (1) | Treatment related dismissal of decisional involvement (5) | |
High workload (3) | |||
Healthcare system /organizational factors | Adequate workload (1) Formal SDM approach (1) | Acute setting (1) | |
Healthcare staff rotation (2) | |||
High Workload (3) | |||
Lack of integration in social practices (3) | |||
Patient turnover (1) | |||
Scheduling issue (1) | |||
Health and Age | Patient factors | Being ill (2) | |
Being in pain (2) | |||
Being old (4) | |||
Being overstrained (3) | |||
Being tired (1) | |||
Forgetting discussions or given information (2) | |||
Timely treatment necessity (2) | |||
Discomfort due to too much involvement (1) | |||
Healthcare system /organizational factors | Need for individualized care - Treatment complexity and multimorbid patients (3) |