A single case study is described here; therefore, it limits the
number of issues that can be examined, and thus the generalizability
of the methods and strategies employed. The study
is qualitative in nature; however, it is anchored in real-life
situations and provides a complete clinical picture of shared
decision-making. There exists a need for future clinical trials
with shared decision-making tools. Attention should be focused
on identifying barriers and facilitators to the implementation of
shared decision-making. Studies assessing the impact of shared
decision-making on medication adherence would be very informative.
Efforts should be made to facilitate the shared decisionmaking
process by providing educational intervention to patients
as well as in-service training to staff at health care centers.
Further research is warranted to delineate nurses’ engagement
in implementation of shared decision-making in mental health
care.