Involvement, topics, and roles of nurses in shared decision-making with patients with dementia in acute hospitals: An integrative review

Abstract

Aim: To describe nurses' roles, involvement, and topics in shared decision-making with older patients with dementia in acute hospitals.

Design: An integrative review.

Methods: A systematic search was performed until April 2022 in PubMed, PsychInfo, CINAHL, and Cochrane, followed by a manual search on the reference lists of relevant systematic reviews. Studies were independently screened, appraised using the Joanna Briggs Institute (JBI) methodology, and extracted by two reviewers.

Results: Nine studies were included. Nurses were involved as treatment team members, intermediates, or patient supporters. Nurses' roles were most explicit in the preparatory phase of shared decision-making. The step of 'developing tailor-made options' was limitedly identified. 'Deliberating and trying options to reach a decision' were described from an outsider's perspective in which nurses attempted to influence the decision. In conclusion, nurses primarily have a role in decision-making by supplementing patient information. Patient and Public Contribution No Patient or Public Contribution.

Keywords: acute care; decision-making; dementia; hospital care; nurse roles.