AimTo describe nurses' roles, involvement, and topics in shared decision-making with older patients with dementia in acute hospitals. DesignAn integrative review. MethodsA systematic search was performed until April 2022 in PubMed, PsychInfo, CINAHL, and Cochrane, followed by a manual search on the reference lists of relevant systematic reviews. Studies were independently screened, appraised using the Joanna Briggs Institute (JBI) methodology, and extracted by two reviewers. ResultsNine studies were included. Nurses were involved as treatment team members, intermediates, or patient supporters. Nurses' roles were most explicit in the preparatory phase of shared decision-making. The step of 'developing tailor-made options' was limitedly identified. 'Deliberating and trying options to reach a decision' were described from an outsider's perspective in which nurses attempted to influence the decision. In conclusion, nurses primarily have a role in decision-making by supplementing patient information. Patient and Public Contribution No Patient or Public Contribution.
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Sophiahemmet Univ, Vallhallavagen 91, S-11486 Stockholm, SwedenSophiahemmet Univ, Vallhallavagen 91, S-11486 Stockholm, Sweden
Siouta, Eleni
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Olsson, Ulf
Waldreus, Nana
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Karolinska Inst, Div Nursing, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Karolinska Univ Hosp, Theme Inflammat & Aging, Huddinge, SwedenSophiahemmet Univ, Vallhallavagen 91, S-11486 Stockholm, Sweden