The 2016 Academic Emergency Medicine Consensus Conference, “Shared Decision Making in the Emergency Department: Development of a Policy-relevant Patient-centered Research Agenda” Diagnostic Testing Breakout Session Report

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

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MP9-12 PATIENT-CENTERED TREATMENT DECISIONS: USING CONJOINT ANALYSIS AS AN AID FOR SHARED DECISION-MAKING FOR URETHRAL STRICTURE TREATMENT

The Journal of Urology ◽

10.1016/j.juro.2015.02.372 ◽

2015 ◽

Vol 193 (4S) ◽

Author(s):

Lindsay Hampson ◽

Thomas Gaither ◽

Leslie Wilson ◽

Jie Ting ◽

Isabel Allen ◽

...

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Conjoint Analysis ◽

Urethral Stricture ◽

Treatment Decisions ◽

Shared Decision ◽

Patient Centered

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Improving the Perception of Patient-Centered Wellness in a Virtual Population During the COVID-19 Pandemic

Journal of Doctoral Nursing Practice ◽

10.1891/jdnp-d-20-00078 ◽

2021 ◽

pp. JDNP-D-20-00078

Author(s):

Sybilla Myers ◽

Christopher Kennedy

Keyword(s):

Quality Of Life ◽

Decision Making ◽

Shared Decision Making ◽

Cognitive Theory ◽

Well Being ◽

Mobile App ◽

Shared Decision ◽

Patient Centered ◽

The Social

BackgroundPerceived health-related quality of life (HRQOL) is fundamental to well-being and is a meaningful way to measure physical and mental health.Local ProblemNo standard method exists for measuring perceived HRQOL during the COVID-19 pandemic in participants as they attempt to improve their self-determined wellness goals. An implementation plan that considers the social distancing limitations imposed can be used to predict an individual’s likelihood of long-term success.MethodsDuring the four, 2-week plan-do-study-act (PDSA) cycles, the Social Cognitive Theory model informed the implementation of the four core interventions. To guide iterative changes, the data was analyzed through Excel and run charts.InterventionsThe four core interventions were the shared decision-making tool (SDMT), health mobile app tool (HMAT), wellness tracker tool (WTT), and the team engagement plan.ResultsAmong 28 participants, perceived quality of life increased by 70%, engagement in shared decision-making increased to 82%, app use and confidence increased to 85%, and goal attainment reached 81%.ConclusionsThe SDMT, health app, and wellness tracker created a methodical plan of accountability for increasing participant wellness. The contextual barrier of the COVID-19 pandemic added a negative wellness burden which was mitigated by creating a patient-centered culture of wellness.

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