Table 1
Activities of the VCoP related to SDM.
| TITLE | OBJECTIVE | PROPOSED ACTIVITY |
|---|---|---|
| Understanding shared decisions better and the search for decision aids (DAs). | To explain what DA and their structure are and identify some examples that may be useful. | Identify situations with patients to invite them to share emotions. |
| Understanding shared decisions better and looking for DAs. | To explore existing DAs. | Find DAs that help them clarify the benefits and risks of different options and people’s preferences. |
| To treat or not to treat? Making shared decisions. | To reach an informed and satisfactory decision together in a non-real case. | Analysis of a case susceptible to using a DA. |
| Practising Shared Decision Making. | To analyse the roles of the patient and professional in a clinical interview using the SDM model. | Choose a partner and practice the key elements of SDM. |
[i] DA = Decision Aids; SDM = Shared Decision Making; VcoP = Virtual Community of Practice.
Table 2
Characteristics of the participants.
| CHARACTERISTICS | FREQUENCY |
|---|---|
| Age (years), mean (SD) | 47.03 (8.55) |
| Sex, n (%) | |
| Male | 31 (21.2%) |
| Female | 115 (78.8%) |
| Profession, n (%) | |
| Physicians | 80 (54.8%) |
| Nurses | 66 (45.2%) |
| Resident tutor | |
| No | 112 (76.7%) |
| Yes | 34 (23.3%) |
| Years of experience, mean (SD) | 21.77 (8.08) |
| Years in primary care, mean (SD) | 18.0 (8.28) |
| Daily caseload, mean (SD) | 27.84 (10.68) |
| Years in the health centre, mean (SD) | 8.16 (7.70) |
[i] SD = Standard deviation.
Table 3
The framework used for data analysis.
| CATEGORY | DESCRIPTION |
|---|---|
| Attributes of SDM | This describes the situations that show the general qualities of the SDM model, i.e., Information exchange, deliberation/negotiation, flexibility/individualization, and this involves two people. |
| Essential elements of SDM | This describes the elements that are considered essential in SDM, i.e., patient values and preferences, definition and explanation of the problem, checking the understanding of the patient, presentation of options, professional knowledge, discussion of the patient’s self-efficacy. |
| Ideal elements of SDM | Description of the elements that are considered ideal in the SDM model. i.e., mutual agreement, impartial information, presenting evidence, setting goals. |
| Other characteristics SDM | Description of other important characteristics of the SDM model. i.e., patient education, patient participation companionship, process, mutual respect. |
| Attitudes | Attitudes of healthcare professionals towards the implementation of SDM. i.e., inapplicability, patient characteristics, clinical situation, lack of general agreement with SDM, lack of expectations on the part of the professional, lack of motivation, self-efficacy. |
| Behaviour | Behaviours of healthcare professionals towards the implementation of SDM. i.e., factors associated with the organizational culture, time pressure, sharing responsibility with patients. |
| Knowledge | Health professionals’ knowledge of SDM. i.e., lack of knowledge about SDM, lack of familiarity |
| Other codes | Paternalistic attitude of the professional |
| Facilitators | Attitudes and behaviors of the health professional that can facilitate the implementation of SDM. i.e., empathy, motivation. |
[i] SDM = Shared Decision Making.