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The aim of this study was to create a measure of collaborative processes between healthcare team members, patients, and carers. A shared decision-making scale was developed using a qualitative research derived model and refined using Rasch and factor analysis. The scale was used by staff in the hospital for four consecutive years (n=152, 121, 119 and 121) and by two independent patients' and carers' samples (n=223 and 236). Respondents had difficulty determining what constituted a decision and the scale was redeveloped after first use i
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