56

Shared decision-making allows older people to discuss and make changes to their care with informal caregivers and health-care professionals. When opinions differ, an older person’s decision-making ability can be compromised by many factors. The objective of this qualitative pilot study was to study the dynamics of shared decision-making in home care support for vulnerable older people. Observations were carried out at older people’s homes during appointments with the network’s health-care professionals. Semi-structured interviews were then conducted with the older people, caregivers, and health-care professionals who had been observed. When opinions differ, negotiation dynamics then develop between older people, caregivers, and health-care professionals. Using a dedicated negotiation framework, we identified four types of negotiation between the stakeholders in home care decision-making, influenced by various individual, collective, and environmental factors.