Shared decision making is a process by which patient and practitioner consider outcome probabilities and patient’s preferences and reach a health care decision based on mutual agreement. Though the majority of patients express a desire for more information, preferences for participation in health care decisions vary by individual and by illness. Research shows that active client participation results in numerous benefits, from increased satisfaction to decreased symptom burden. Many current health interventions promote patient-centered care, but literature on shared decision-making is just beginning. In this essay, the importance of shared decision making will be discussed, pointing out the benefits for both patient and clinician and underlying …show more content…
It has been defined as “an approach where clinicians and patients share the best available evidence when faced with the task of making decisions, and where patients are supported to consider options, to achieve informed preferences”(1). During this process, patient and practitioner participate in making a health decision, discussing all options available, their benefits and harms, taking into account as well patient’s values and preferences (2).
Shared decision making is supported by evidence from 86 randomized trials that showed increased confidence in decisions, more knowledge gained by patients and more active involvement, and, in most of cases, election of conservative treatment options (1). Besides, research in different areas of medicine showed that active client participation produces lots of benefits, including increased satisfaction and decreased symptom burden.
In this essay, the importance of shared decision-making will be discussed, underlying its benefits for the patient and the practitioner.
Materials and Methods
Sources that have been used for this essay are scientific articles found on pubmed and other appropriate
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In order to success it, the critical barriers between patients and practitioners should be broken out (4). Patient should be educated about the essential role they play in the process of decision making, giving them effective tools to help them understand their options and the consequence of their decisions. They should receive emotional support in order that they are able to express their values and preferences and ask questions without any admonishment or disapproval by their clinicians
If you hang around in healthcare long enough, eventually your paths will cross with a non-compliant patient, which for the record is not the same as non-adherence patient. A non-compliant patient is defined as; “patient behaviors” that frequently interferes with the effectiveness of treatment for a variety of medical conditions and can have serious medical consequences. While non-adherence is, simply doing medial tasks incorrectly and overtime may jeopardize a patient's outcome.
Healthcare providers must make their treatment decisions based on many determining factors, one of which is insurance reimbursement. Providers always consider whether or not the organization will be paid by the patients and/or insurance companies when providing care. Another important factor which affects the healthcare provider’s ability to provide the appropriate care is whether or not the patient has been truthful, if they have had access to health, and are willing to take the necessary steps to maintain their health.
Patients’ autonomy is the respect for the decision-making capacity of competent adults. This has now been fully integrated into the practice of medicine. This ‘patient’s right’ to accept or refuse medical care changed the balance of power in the patient-physician relationship and engaged the patient more in ownership of care plans and it is viewed by patient and physician, essential for honoring the individual and his or her dignity. (4)
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
When we think about this problem in a utilitarian way, we have to abide by the rules which clearly state that the patient has the final say in what treatment is going to be used on them.
The individual will need to be encouraged to make decisions about the care they receive and the type of life they want to live and also ensure that their families are part of the decision making process.
Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). It is the ability to blend information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing from a variety of possibilities and combining the knowledge through research and the scientific evaluation of one’s practice. The purpose of this paper is to analyze my decision to administer ativan by advocating for the patient and anticipating her change prior to confirming signs which provided a therapeutic response. Clinical Decision During my community placement at the cataract clinic at St. Joseph’s Hospital, one patient I observed looked extremely anxious and when I took a further look and watched her behaviour more closely, I recognized the concepts of stress and vulnerability were playing a key role in how she perceived the upcoming operation.
2 With that being said, most health care facilities place an emphasis on coordinated and integrated interactions between the clinician and patient. This may include open communication, and shared decision making, ensuring that the patient is an active participant in his or her own care. Research shows that when a patient is treated with dignity and respect, and includes the family and caregivers in the decision making, better outcomes are to be reported.
have to make decisions that are needed at that moment. Not only is the patient the focus but
The use of clinical judgement and decision making in nursing is a cognitive process occurring frequently in clinical setting throughout the day (standing, 2008). It requires us to consider the reason why a decision is needed and the alternatives, before concluding what might the best action in the circumstances presented (Reading and Webster, 2014).
Individuals need specific care tailored to them, it is vitality important to have the correct professional and appropriate personal care. In order to receive this we need to get the patient involved in the decision process, listen to their views and opinions and receive the relevant, accurate, professional and medical information. Once all the information is collaborated a personal care package can be put into practice.
...preference predictions into the shared decision- making process if this reduces the stress and burden on their loved ones and increases the chances that they will receive treatment consistent with their preferences and values. If true, using preference predictions would also promote the goal of respecting patients’ preferences regarding how treatment decisions are made for them."
For example, their choice ( if they want to do it) is taking the patient's specific directions when helping them with their ADL routine, choosing their ADL products and outfits. It is also important to continue to respect them, encourage them, respect their ideas/desires to incorporate a family member (only family member(s) designated by them that they want involved in their care), being addressed by the name they prefer to be called, and in incorporating them as full partners in deciding and providing their care. Don Berwick in the YouTube video is sad today about his right knee surgery which he didn't think was necessary. To avoid cases like this, we can “do for them” by incorporating them into their care plan as a full partner. The goal is to work with them with encouragement to regain their strengths again.
(2013) demonstrated why good communication about a patient’s prognosis and treatment options are crucial for the decision-making process. This multi-site randomized controlled trial study was called ‘The Values and Options in Cancer Care (VOICE)’ and it was designed to facilitate communication between providers and their patients. Since cancer treatment options are typically unique and more complex, it is important that the patient play a role in decision-making throughout the entire process. The intervention that was proposed was to have a trained Standardized Patient Instructor (SPI) come to medical facilities to train both providers and patients. Timely feedback will be critical in evaluating the effectiveness of the program’s
There will always be a need for healthcare as people are always sick in some way or they are out of balance with their health in some way. There are so many specialty areas in the healthcare field that it allows for a variety of specialists to be apart of a patient’s decision making process. It does pay to be knowledgable. Take the time to read each one of the patient’s rights and under-stand what it means to have a choice.