Shared decision making in pelvic organ prolapse: a thematic analysis of healthcare professional perspectives

Shared decision-making (SDM) is widely recognized for its benefits in patient-centered care, yet its application in the treatment of pelvic organ prolapse (POP) presents notable challenges. This study explores healthcare professionals (HCPs) experiences with SDM, identifying barriers and facilitators to its implementation. Twelve HCPs involved in POP management were interviewed. The data was analyzed using reflexive thematic analysis, revealing four key themes: (1) Experiences with SDM, (2) Differences in HCP perspectives, (3) Patient characteristics, and (4) Information provision. While HCPs value SDM, they face challenges including limited patient health literacy, time constraints, and differing patient expectations. Key facilitators included clear, tailored communication, structured patient education, and effective multidisciplinary collaboration. This study emphasizes the importance of preparing patients for active participation in SDM by enhancing health literacy and improving communication. Overcoming barriers and using facilitators can enhance SDM quality in clinical practice, improving patient outcomes and satisfaction in POP care.