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Table 5 Summary of review findings for patient-related factors

From: Barriers and facilitators to shared decision-making in hospitals from policy to practice: a systematic review

Summary of review finding for additional patient-related factors
Illustrative quote
CERQual assessment of confidence in the evidence
Fear of negative outcomes is a barrier to SDM for patients, with some patients reporting not wanting to engage because of a fear that doing so will result in negative outcomes and believing there is a right or wrong decision to be made
[45, 47, 49, 55, 56]
“Maybe sometimes I’m afraid to say something because it will be something worse than I think it is. [You don’t want to bring it up because you’re afraid you might get bad news?] Yes.” [47]
Low confidence