Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study
Yu-Dan Liu,1 Hua Zhao,1 Cai-Yun Zhang,2 Yu-Juan Zheng,3 Jia-Ning Hou,1 Jia-Le Yang,1 Xing-Yu Liu1 1College of Nursing, Shanxi University of Chinese Medicine, Jinzhong, 030619, People’s Republic of China; 2Department of Nursing, Shanxi Provincial People’s Hospital, Taiyuan, 030000, People’s Republic...
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Dove Medical Press
2025-07-01
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| Series: | Patient Preference and Adherence |
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| author | Liu YD Zhao H Zhang CY Zheng YJ Hou JN Yang JL Liu XY |
| author_facet | Liu YD Zhao H Zhang CY Zheng YJ Hou JN Yang JL Liu XY |
| author_sort | Liu YD |
| collection | DOAJ |
| description | Yu-Dan Liu,1 Hua Zhao,1 Cai-Yun Zhang,2 Yu-Juan Zheng,3 Jia-Ning Hou,1 Jia-Le Yang,1 Xing-Yu Liu1 1College of Nursing, Shanxi University of Chinese Medicine, Jinzhong, 030619, People’s Republic of China; 2Department of Nursing, Shanxi Provincial People’s Hospital, Taiyuan, 030000, People’s Republic of China; 3Department of Cardiology, Shanxi Provincial People’s Hospital, Taiyuan, 030000, People’s Republic of ChinaCorrespondence: Hua Zhao, College of Nursing, Shanxi University of Chinese Medicine, Jinzhong, Shanxi, People’s Republic of China, Tel +8613903465019, Email zhshun7788@126.comObjective: To explore the willingness, needs, and factors influencing participation in medication decision-making among elderly patients with multi-morbidities, caregivers, and healthcare professionals.Methods: A phenomenological research method was used to conduct semi-structured interviews with elderly patients with multi-morbidities, caregivers, and healthcare professionals. The purposive sampling method was used to select geriatric patients with multi-morbidities, their caregivers, and healthcare workers from March to July 2024 in the Geriatrics, Cardiology, Endocrinology, Respiratory, and Nephrology Departments of a tertiary hospital in Shanxi Province as the study subjects. The Colaizzi 7-step analysis method was used to analyze, summarize, and refine themes from the interview data.Results: Twelve elderly patients with multi-morbidities, nine caregivers, and seven healthcare professionals were interviewed. Three themes and nine sub-themes were identified, as follows: (1) willingness to participate in decision-making (large differences in willingness and discrepancies between willingness and reality); (2) the current status of multi-morbidity management (lack of guidelines, healthcare systems and decision-making support systems); and (3) factors influencing participation in decision-making (bias in the power structure, lack of information exchange, insufficient knowledge and awareness of shared decision-making by healthcare workers, differences in patients’ self-management initiative and medication-focused motivations).Conclusion: Elderly patients with multi-morbidities were affected by multiple impediments to participation in medication decision-making. Healthcare professionals should continue to improve their shared decision-making awareness and ability, provide patients with targeted decision-making needs, solve decision-making problems, and promote the implementation of shared decision-making in elderly patients with multi-morbidities.Keywords: multi-morbidity, elderly, shared decision-making, medication, patients, stakeholders, qualitative research |
| format | Article |
| id | doaj-art-1a8c56ae9c32436ca4e42d0be54011dc |
| institution | DOAJ |
| issn | 1177-889X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj-art-1a8c56ae9c32436ca4e42d0be54011dc2025-08-20T02:45:42ZengDove Medical PressPatient Preference and Adherence1177-889X2025-07-01Volume 19Issue 122012212105114Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological StudyLiu YD0Zhao H1Zhang CY2Zheng YJ3Hou JN4Yang JL5Liu XY6College of NursingCollege of NursingDepartment of NursingDepartment of CardiologyCollege of NursingCollege of NursingCollege of NursingYu-Dan Liu,1 Hua Zhao,1 Cai-Yun Zhang,2 Yu-Juan Zheng,3 Jia-Ning Hou,1 Jia-Le Yang,1 Xing-Yu Liu1 1College of Nursing, Shanxi University of Chinese Medicine, Jinzhong, 030619, People’s Republic of China; 2Department of Nursing, Shanxi Provincial People’s Hospital, Taiyuan, 030000, People’s Republic of China; 3Department of Cardiology, Shanxi Provincial People’s Hospital, Taiyuan, 030000, People’s Republic of ChinaCorrespondence: Hua Zhao, College of Nursing, Shanxi University of Chinese Medicine, Jinzhong, Shanxi, People’s Republic of China, Tel +8613903465019, Email zhshun7788@126.comObjective: To explore the willingness, needs, and factors influencing participation in medication decision-making among elderly patients with multi-morbidities, caregivers, and healthcare professionals.Methods: A phenomenological research method was used to conduct semi-structured interviews with elderly patients with multi-morbidities, caregivers, and healthcare professionals. The purposive sampling method was used to select geriatric patients with multi-morbidities, their caregivers, and healthcare workers from March to July 2024 in the Geriatrics, Cardiology, Endocrinology, Respiratory, and Nephrology Departments of a tertiary hospital in Shanxi Province as the study subjects. The Colaizzi 7-step analysis method was used to analyze, summarize, and refine themes from the interview data.Results: Twelve elderly patients with multi-morbidities, nine caregivers, and seven healthcare professionals were interviewed. Three themes and nine sub-themes were identified, as follows: (1) willingness to participate in decision-making (large differences in willingness and discrepancies between willingness and reality); (2) the current status of multi-morbidity management (lack of guidelines, healthcare systems and decision-making support systems); and (3) factors influencing participation in decision-making (bias in the power structure, lack of information exchange, insufficient knowledge and awareness of shared decision-making by healthcare workers, differences in patients’ self-management initiative and medication-focused motivations).Conclusion: Elderly patients with multi-morbidities were affected by multiple impediments to participation in medication decision-making. Healthcare professionals should continue to improve their shared decision-making awareness and ability, provide patients with targeted decision-making needs, solve decision-making problems, and promote the implementation of shared decision-making in elderly patients with multi-morbidities.Keywords: multi-morbidity, elderly, shared decision-making, medication, patients, stakeholders, qualitative researchhttps://www.dovepress.com/shared-decision-making-in-medications-for-elderly-patients-with-multi--peer-reviewed-fulltext-article-PPAmulti-morbidity；elderly；shared decision-making；medication；nursing；stakeholders；qualitative research |
| spellingShingle | Liu YD Zhao H Zhang CY Zheng YJ Hou JN Yang JL Liu XY Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study Patient Preference and Adherence multi-morbidity；elderly；shared decision-making；medication；nursing；stakeholders；qualitative research |
| title | Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study |
| title_full | Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study |
| title_fullStr | Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study |
| title_full_unstemmed | Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study |
| title_short | Shared Decision-Making in Medications for Elderly Patients with Multi-Morbidities: A Phenomenological Study |
| title_sort | shared decision making in medications for elderly patients with multi morbidities a phenomenological study |
| topic | multi-morbidity；elderly；shared decision-making；medication；nursing；stakeholders；qualitative research |
| url | https://www.dovepress.com/shared-decision-making-in-medications-for-elderly-patients-with-multi--peer-reviewed-fulltext-article-PPA |
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