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Aim: The concept of shared decision‐making is poorly defined and often used interchangeably with related terms. The aim of this study was to delineate and clarify the concept of shared decision‐making in the paediatric field. Method: Rodgers and Knafl's evolutionary concept analysis was used to delineate and clarify the concept. Following a search of the CINAHL, PubMed and MEDLINE databases and online journals between 1995 and 2016, we included a total of 42 articles that referred to shared decision‐making in the paediatric field. Results: The attributes included active participation of the three: parents, children and health professionals; collaborative partnership; reaching a compromise; and common goal for child's health. Antecedents were existing several options with different possible outcomes; substantial decisional conflict; recognising child's health situations that decision‐making is needed; and willingness to participate in decision‐making. Finally, the consequences included decreased decisional conflict; mutual empowerment; improved child health status; and improved quality of paediatric health care. Conclusion: This study provides a theoretical understanding of the concept of shared decision‐making in the paediatric field; furthermore, by integrating this concept into paediatric practice, it may help to reduce the gap between theory and practice. The analysis could also provide nursing researchers with insight into paediatric decision‐making and establish a foundation to develop future interventions and situation‐specific theory for promoting high‐quality decision‐making in the paediatric field. Published by arrangement with John Wiley & Sons.

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