Korsbek Lisa, Moeller Stine Bjerrum, Bonde Marie, Jensen Rikke Amalie Agergaard
Mental Healthcare Services, Region of Southern Denmark, Mental Health Unit Odense-Svendborg, Odense, Denmark.
Research unit of Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Adm Policy Ment Health. 2025 Sep 13. doi: 10.1007/s10488-025-01472-9.
In mental health care, shared decision making (SDM) is a central part of the recovery paradigm. However, implementing SDM can be challenging, and professionals may prefer different decision-making styles. This study explored preferences for decision-making style and examined their association with knowledge of and attitudes to recovery among mental health professionals in routine hospital-based services. An exploratory cross-sectional survey was conducted among mental health professionals (N = 552) in hospital-based services in one of Denmark's five regions. Preferences for decision-making style were measured using the Clinical Decision Making Style Scale - Staff Questionnaire, while professionals' knowledge of and attitudes to recovery were assessed using the Recovery Knowledge Inventory. Although the majority of participants (72.4%) preferred a shared decision-making style, there were differences in preferences based on profession, work experience, and setting. One in five reported having received SDM training, and fewer reported having access to decision-support tools. Indications of differences in knowledge of and attitudes to recovery between professionals' preferences for decision-making styles were found: those who preferred a shared or active style seemed to score higher on the RKI compared to those who preferred a passive, clinician-led style. While descriptive in nature, the findings suggest patterns in decision-making preferences that may help inform future implementation efforts. The results also suggest a potential alignment between endorsement of shared- or active decision-making styles and recovery-oriented values. Further research is needed to investigate how preferences translate into actual clinical practice and how knowledge about and attitudes to recovery may be operationalized as recovery-oriented care.
在精神卫生保健中，共同决策（SDM）是康复模式的核心组成部分。然而，实施共同决策可能具有挑战性，而且专业人员可能倾向于不同的决策风格。本研究探讨了对决策风格的偏好，并考察了这些偏好与常规医院服务中的精神卫生专业人员对康复的了解及态度之间的关联。在丹麦五个地区之一的医院服务机构对精神卫生专业人员（N = 552）进行了一项探索性横断面调查。使用《临床决策风格量表 - 员工问卷》来测量对决策风格的偏好，同时使用《康复知识量表》评估专业人员对康复的了解及态度。尽管大多数参与者（72.4%）倾向于共同决策风格，但基于职业、工作经验和工作环境的偏好存在差异。五分之一的人报告接受过共同决策培训，更少的人报告能够使用决策支持工具。研究发现了专业人员在决策风格偏好方面对康复的了解及态度存在差异的迹象：与那些倾向于被动的、由临床医生主导风格的人相比，倾向于共同或主动风格的人在康复知识量表上的得分似乎更高。尽管本质上是描述性的，但研究结果表明了决策偏好的模式，这可能有助于为未来的实施工作提供信息。结果还表明，支持共同或主动决策风格与以康复为导向的价值观之间可能存在一致性。需要进一步研究以调查偏好如何转化为实际临床实践，以及对康复的了解和态度如何作为以康复为导向的护理得以实施。
