Shared Decision-Making: Improving Providers' Engagement in the Adoption of SDM

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Identifier 2019_Martineau
Title Shared Decision-Making: Improving Providers' Engagement in the Adoption of SDM
Creator Martineau, Eun Young
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Decision Making; Patient Satisfaction; Veterans; Patient-Centered Care; Culturally Competent Care; Treatment Outcome; Interdisciplinary Communication; Health Knowledge, Attitudes, Practice; Evidence-Based Practice; Surveys and Questionnaires; Quality Improvement
Description Shared-Decision Making (SDM) is a collaborative process that involves a patient and a provider working together to make a decision based on evidence-based information and the patient's needs, preferences, and values. Multiple studies have found SDM practice improves patient satisfaction, treatment adherence, and patient engagement even though some studies have identified challenges including negative attitudes regarding the change, lack of decision support tools, provider's paternalistic decision making, difficulty measuring outcomes, and lack of organizational leadership support. Implementing SDM practice in routine clinical care could enhance providers' engagement in the adoption of SDM and patient satisfaction by empowering them to make better decisions in their clinical treatment. A pilot study using the Plan-Do-Study-Act (PDSA) model was conducted in an urban area of Salt Lake City in an outpatient behavioral health clinic serving the Veteran population. Fifty interdisciplinary psych/mental health providers were selected to participate in the study. A pre-survey was conducted to assess awareness, attitudes, knowledge, and adoption of SDM before the delivery of an SDM Toolkit. The study showed gaps in the providers' knowledge about roles in the decision support process such as uncertainty about screening for patients' decisional needs and sharing a final responsibility for shared decision-making. Most providers still use the original model of SDM, which creates a barrier for SDM implementation. They need knowledge and training on the new model of SDM. More systematic SDM training will be needed to reduce gaps for better implementation of the SDM practice.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice, DNP
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2019
Type Text
Rights
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Language eng
ARK ark:/87278/s6fr4d4d
Setname ehsl_gradnu
ID 1428521
Reference URL https://collections.lib.utah.edu/ark:/87278/s6fr4d4d
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