Shared decision making in chronic kidney disease: a qualitative study of the impact of communication practices on treatment decisions for older patients.

ABSTRACT:

Background

Effective interpersonal communication is critical for shared decision-making (SDM). Previous SDM communication training in nephrology has lacked context-specific evidence from ethnographic analysis of SDM interactions with older patients considering treatment options of end stage kidney disease (ESKD). This study explores communication strategies in SDM discussions in nephrology, specifically focusing on older patients considering dialysis as kidney replacement therapy (KRT).

Methods

We conducted a qualitative study analysing naturally-occurring audio-recorded clinical interactions (n = 12) between Australian kidney doctors, patients aged 60+, and carers. Linguistic ethnography and qualitative socially-oriented functional approaches were used for analysis.

Resu

SUBMITTER: Dahm MR 

PROVIDER: S-EPMC10734071 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature