Nilsen Marianne Kollerøs, Blix Bodil H, Sletvold Hege, Olsen Rose Mari
Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.
Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromso, Norway.
Glob Qual Nurs Res. 2021 Nov 22;8:23333936211056930. doi: 10.1177/23333936211056930. eCollection 2021 Jan-Dec.
Decisions regarding pro re nata medications might be challenging due to the complex nature of the practice. The aim of this study was to expand our understanding of the experiences of older people living in sheltered housings with regard to shared decision-making concerning pro re nata medications. In this study, we conducted in-depth interviews with residents living in Norwegian sheltered housings. The analysis was inductive, based on a narrative positioning analysis. Twelve residents were interviewed, and three narratives representing participants' variation are presented. People take different positions in shared decision-making of pro re nata medication, and they position themselves variously at different levels and situations. Prevailing master narratives affect the residents' positions in shared decision-making. Contrasts in older adults' experiences indicate that shared decision-making is not straightforward and is highly reliant on the context. Seemingly, they wish to be involved and not involved at the same time, a contradiction that healthcare providers need to consider.
由于按需给药实践的复杂性，关于按需给药的决策可能具有挑战性。本研究的目的是加深我们对居住在庇护性住房中的老年人在按需给药共同决策方面经历的理解。在本研究中，我们对居住在挪威庇护性住房中的居民进行了深入访谈。分析采用归纳法，基于叙事定位分析。采访了12名居民，并呈现了代表参与者差异的三个叙事。人们在按需给药的共同决策中采取不同立场，并且在不同层面和情况下以不同方式定位自己。盛行的主导叙事影响居民在共同决策中的立场。老年人经历中的差异表明，共同决策并非简单直接，且高度依赖具体情境。显然，他们希望同时既参与又不参与，这一矛盾是医疗服务提供者需要考虑的。
