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/.
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;
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., 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