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Table 6 Summary of review findings for organisation- and system-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 organisation- and system-related factors
Illustrative quote
CERQual assessment of confidence in the evidence
Social Influence:
Culture of the organisation is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their organisation supports them to do so.
[46, 48, 55,56,57]
“‘What is more powerful is the culture of the institution, right? Where I trained before, at a county hospital, we didn’t admit anybody for chest pain… you’d talk to them about the risk and … that was what the institution, and…the population, expected” [56]
Moderate confidence
Leaders engaging in SDM is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their leaders use and support the use of SDM
[44, 46, 48, 57]
“I know [surgical director] feels pretty strongly that it’s a good tool and was the one who pushed the initial use of it . . . he says to us “make sure you’re using this.” [57]
High confidence