NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Pearl, I confess that my mom is one of these patients. She googles everything and thinks she knows exactly what’s wrong with her. it sometimes takes quite a bit of discussion to make her realize that everything on the internet is not always the best or most accurate information. She is definitely “involved” in her care. Involvement of the provider is another measure of shared decision making and is often overlooked.
Couët et al., (2015) found 33 studies measuring patient involvement. Several patient involving behaviors were observed in the studies, but the majority were seen in longer contacts with patient. Behaviors that did not change or improve were those that required tailoring of care to meet the desires of the patient. Couët et al., (2015) theorized that patient centered decision making behaviors were hard to implement. I agree with these authors, that more information is definitely needed. Dr. South
Couët, N., Desroches, S., Robitaille, H., Vaillancourt, H., Leblanc, A., Turcotte, S., … & Légaré, F. (2015). Assessments of the extent to which health‐care providers involve patients in decision making: a systematic review of studies using the OPTION instrument. Health Expectations, 18(4), 542-561. doi: 10.1111/hex.12054.
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Indeed the patient decision aid is a way of assisting individuals in coming up with informed decisions regarding health care that put into consideration their individual preferences as well as values. According to Hoffman, Montori and Del Ma (2014), the patient should be included in the development of the treatment plan to enhance compliance to treatment or medication. Another significant impact of a treatment plan developed by the both the nurse and the patient, relates to the level of treatment efficiency in managing a patient’s condition. Lastly, the initiative of discussing and developing a care plan with a patient is very important because it makes the patient to have a say in what he or she feels is the best. This plays a great role in promoting patient satisfaction as well as enhancing health outcomes.
References
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
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
