Shared Decision-Making in Choosing Dialysis Modalities for Patients With Chronic Kidney Disease: An Evolutionary Concept Analysis

Abstract

The concept of shared decision-making, which respects the autonomy of patients with chronic kidney disease in the process of choosing dialysis modalities, has been emphasized. Studies clearly defining the process of selecting dialysis methods for chronic kidney disease patients remain limited. Thus, this study aimed to conduct a Rodgers' evolutionary concept analysis of shared decision-making in choosing dialysis modalities among patients with chronic kidney disease. A comprehensive literature review was conducted using data from six electronic databases from 2013 to 2024. In total, 36 papers were included in this analysis. We found the seven key attributes of shared decision-making in dialysis modalities: "Setting goals for treatment sustainability and life after treatment," "Building a trusting and respectful relationship," "Developing a collaborative partnership," "Effective patient-doctor communication," "Choosing the right dialysis treatment options," "Making personalized and informed decisions" and "Voluntary participation and interactive process." Our knowledge can promote patient-centered communication and contribute to the development of tailored interventions for patients with chronic kidney disease and their family caregivers. TRIAL REGISTRATION: (PROSPERO) CRD42023453585 (https://www.crd.york.ac.uk/prospero/).

Keywords: chronic kidney disease; concept analysis; nurses; renal failure; shared decision‐making.