Volume 06 Issue 09 September 2023
1Thomas P. Werner, PT, MA, PhD, 2Mary Zadnik, ScD, MEd, OTR, 3Suzanne Trotter, PT, ScD
1University of St. Augustine for Health Sciences, 901 W. Walnut Hill Lane, Suite 210A, Irving, TX 75038
2University of St. Augustine for Health Sciences, 5401 La Crosse Ave, Austin, TX 78739
3Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111
DOI : https://doi.org/10.47191/ijsshr/v6-i9-31Google Scholar Download Pdf
ABSTRACT
The concept of collaborative shared decision-making began with the quality assurance and research efforts associated with the late 1970’s effort of the United States of America President Jimmy Carter. The value of service-learning has been well documented in medical and allied health education. Several studies have examined the cultural experiences and clinical reasoning abilities of persons involved in service-learning. What has not been well-examined is the concept of shared decision-making by those engaged in service-learning. The purpose of this phenomenological study was to identify how Occupational Therapy (OT) and Physical Therapy (PT) students defined shared decision-making while engaged in a weeklong international service-learning experience with an underserved population in Guatemala City, Guatemala. Through facilitated and recorded discussion, the researchers used qualitative methods to unearth the lived experience and shared decision-making of student participants during the daily service-learning activities. Concepts related to a shared decision-making definition evolved during the week of service-learning for these students. Thoughtful reflection identified processes whereby collective problem-solving contributed to both student experiential learning while addressing the broader needs of the client and the underserved population. Participants defined shared decision-making as a collaborative and interprofessional experience. The beliefs and values of team members, including the patient/client, were found to be influential and relevant to the definition.
KEYWORDS:Shared decision-making, occupational therapy, physical therapy, collaborative learning.
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