A process of decision-making support: Exploring supported decision-making practice in Canada
MetadataVis full innførsel
OriginalversjonBrowning, M., Bigby, C. & Douglas, J. (2020). A process of decision-making support: Exploring supported decision-making practice in Canada. Journal of Intellectual & Developmental Disability, 46(2), 138–149. https://doi.org/10.3109/13668250.2020.1789269
Background: Canada was the first country to develop legal mechanisms that allow for supported decision making, and little research has explored how decision making is supported in this context. This research aimed to understand how seven people with intellectual disabilities, living in two Canadian provinces, were supported with their decision making. Method: The research used constructivist grounded theory methodology, interviewing and observing the decision making of seven people with mild to severe intellectual disabilities and 25 decision supporters. Results: A common process of decision-making support was discovered, involving dynamic interaction between the person’s will and preferences and supporters’ responses. This interaction was influenced by five factors: the experiences and attributes the person and their supporter brought to the process; the quality of their relationship; the decision-making environment and the nature and consequences of the decision. Conclusion: The highly individualised and contextually dependent nature of decision-making support has implications for supported decision-making practice.
UtgiverJournal of Intellectual & Developmental Disability
TidsskriftJournal of Intellectual & Developmental Disability
Med mindre annet er angitt, så er denne innførselen lisensiert som Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Viser innførsler beslektet ved tittel, forfatter og emneord.
Providing support for decision making to adults with intellectual disability: Perspectives of family members and workers in disability support services Bigby, C.; Whiteside, M.; Douglas, J. (Journal article, 2019)Background: Supporting people with intellectual disability to make decisions is an important issue for policy implementation yet there is little evidence about the practice of providing support. Method: This study aimed ...
Advancing beyond the system: telemedicine nurses’ clinical reasoning using a computerised decision support system for patients with COPD – an ethnographic study Barken, T. L.; Thygesen, E.; Söderhamn, U. (Journal article, 2017)Background Telemedicine is changing traditional nursing care, and entails nurses performing advanced and complex care within a new clinical environment, and monitoring patients at a distance. Telemedicine practice requires ...
Delivering decision making support to people with cognitive disability — What has been learned from pilot programs in Australia from 2010 to 2015 Bigby, C.; Douglas, J.; Carney, T.; Then, S.; Wiesel, I.; Smith, E. (Journal article, 2017)The UNCRPD has generated debate about supported decision making as a way to better enable people with cognitive disability to participate in decision making. In Australia, between 2010–2015, a series of projects have piloted ...