Time, Trust, and Telling
Narrative Pathways to Shared Decision-Making
Bibliographic Data
| ID | 7156572 |
|---|---|
| Authors | Peter Andersson (0000-0002-9884-7212, Stockholm University, corresponding author), Ulla-Karin Schön (0000-0002-3866-5636, Stockholm University) |
| Year | 2025 |
| Volume | 24 |
| Publication date | 2025-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Qualitative Methods (JOURNAL) |
| Journal identifiers | ISSN: 1609-4069 • E-ISSN: 1609-4069 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/16094069251404339 |
| OpenAlex | W7106547491 |
| Language | EN |
| References cited | 35 |
This article explores how mental health professionals narrate successful experiences of implementing shared decision-making (SDM) within coordinated individual care planning (CIP) for adults with severe mental illness in Sweden. Drawing on narrative theory and the concepts of master and counter-narratives, the study analyzes two in-depth interviews with professionals who adopted a new SDM-oriented CIP model. While previous research has highlighted barriers to implementation, this study focuses on stories of localized success. The findings show that professionals engage in narrative identity work to navigate and, at times, resist dominant institutional discourses centered on time scarcity, user passivity, and bureaucratic rigidity. Through reflective practice, relational engagement, and adaptive use of tools such as pre-meetings and informational media, the professionals reframe SDM as both feasible and desirable. These counter-narratives reveal the importance of time, trust, and storytelling as enabling conditions for change. The study highlights the role of narrative as a tool of professional agency, offering insight into how small-scale innovations can challenge organizational inertia and foster more participatory models of care
Bureaucracy · Citizen journalism · Cognitive reframing · Mental health · Narrative · Narrative inquiry · Participatory action research · Storytelling · Mental Health and Patient Involvement · Patient-Provider Communication in Healthcare · Psychiatric care and mental health services
Implementing shared decision making in routine mental health care
Narrative in Social Work
The teller-focused interview
Wicked Problems in Design Thinking
Personal, Master, and Alternative Narratives
Considering Counter-Narratives
Coordinated individual care planning and shared decision making
Integrated care for individuals with mental illness and substance abuse – the example of the coordinated individual plan in Sweden
In the centre or caught in the middle? – Social workers’ and healthcare professionals’ views on user involvement in Coordinated Individual Plans in Sweden
Shared Decision Making in Israeli Social Services
The other side of the story
A Narratological Approach to Understanding Processes of Organizing in a UK Hospital
Thinking big with small stories in narrative and identity analysis
Patients' Understanding of Shared Decision Making in a Mental Health Setting
What Is a Case Study and What Is It Good for
Building the Environment for Narrative Inquiry With Young People With Intellectual Disability
Theory Construction in Qualitative Research
| Citation velocity | historical |
|---|---|
| Highly cited | No |