Patient Preferences and Decision Making
Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.
What has your experience been with patient involvement in treatment or healthcare decisions?
In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.
To Prepare:
· Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
· Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
o Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
NOTE:
To ensure compliance with HIPAA rules, please
DO NOT
use the patient’s real name or any information that might identify the patient or organization/practice.
Post
a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
Resources Provided
Melnyk, B. M., & Fineout-Overholt, E. (2018).
Evidence-based practice in nursing & healthcare: A guide to best practice
(4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making.
Journal of the American Medical Association, 312
(13), 1295–1296. doi:10.1001/jama.2014.10186
Note:
You will access this article from the Walden Library databases.
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement.
Critical Care Medicine, 44
(1), 188–201. doi:10.1097/CCM.0000000000001396
Note:
You will access this article from the Walden Library databases.
Opperman, C., Liebig, D..
Patient Preferences and Decision MakingChanges in culture an.docx
1. Patient Preferences and Decision Making
Changes in culture and technology have resulted in patient
populations that are often well informed and educated, even
before consulting or considering a healthcare need delivered by
a health professional. Fueled by this, health professionals are
increasingly involving patients in treatment decisions. However,
this often comes with challenges, as illnesses and treatments
can become complex.
What has your experience been with patient involvement in
treatment or healthcare decisions?
In this Discussion, you will share your experiences and consider
the impact of patient involvement (or lack of involvement). You
will also consider the use of a patient decision aid to inform
best practices for patient care and healthcare decision making.
To Prepare:
· Review the Resources and reflect on a time when you
experienced a patient being brought into (or not being brought
into) a decision regarding their treatment plan.
· Review the Ottawa Hospital Research Institute’s Decision
Aids Inventory at https://decisionaid.ohri.ca/.
o Choose “For Specific Conditions,” then Browse an
alphabetical listing of decision aids by health topic.
NOTE:
To ensure compliance with HIPAA rules, please
DO NOT
2. use the patient’s real name or any information that might
identify the patient or organization/practice.
Post
a brief description of the situation you experienced and explain
how incorporating or not incorporating patient preferences and
values impacted the outcome of their treatment plan. Be specific
and provide examples. Then, explain how including patient
preferences and values might impact the trajectory of the
situation and how these were reflected in the treatment plan.
Finally, explain the value of the patient decision aid you
selected and how it might contribute to effective decision
making, both in general and in the experience you described.
Describe how you might use this decision aid inventory in your
professional practice or personal life.
Resources Provided
Melnyk, B. M., & Fineout-Overholt, E. (2018).
Evidence-based practice in nursing & healthcare: A guide to
best practice
(4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 7, “Patient Concerns, Choices and Clinical
Judgement in Evidence-Based Practice” (pp. 219–232)
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The
connection between evidence-based medicine and shared
decision making.
Journal of the American Medical Association, 312
(13), 1295–1296. doi:10.1001/jama.2014.10186
Note:
You will access this article from the Walden Library databases.
3. Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White,
D. B. (2016). Shared decision making in intensive care units:
An American College of Critical Care Medicine and American
Thoracic Society policy statement.
Critical Care Medicine, 44
(1), 188–201. doi:10.1097/CCM.0000000000001396
Note:
You will access this article from the Walden Library databases.
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., &
Harper, M. (2016). Measuring return on investment for
professional development activities: Implications for practice.
Journal for Nurses in Professional Development, 32
(4), 176–184. doi:10.1097/NND.0000000000000483
Note:
You will access this article from the Walden Library databases.
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider
perspectives on the utility of a colorectal cancer screening
decision aid for facilitating shared decision making.
Health Expectations, 17
(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x
Note:
You will access this article from the Walden Library databases.
The Ottawa Hospital Research Institute. (2019). Patient decision
aids. Retrieved from https://decisionaid.ohri.ca/
