An Organic Model for edTPA Exploration and Implementation

2019 ◽  
pp. 42-80
Author(s):  
Carla Lynn Tanguay ◽  
Joyce E. Many ◽  
Mary Ariail ◽  
Ruchi Bhatnagar ◽  
Judith Emerson
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Distributed Leadership ◽  
Teacher Candidates ◽  
Teacher Educators ◽  
Transition Period ◽  
Shared Decision ◽  
Open Communication ◽  
High Stakes ◽  
Grass Roots

Teacher educators share their experiences in response to the adoption of a high-stakes policy in Georgia regarding the use of edTPA®. Their efforts followed an organic model characterized by the inclusion of three important concepts: (1) distributed leadership, (2) ongoing communication, and (3) a commitment to the evolution of responsibilities and support structures. Stories highlight the importance of collegiality, shared decision making, and clear and open communication within the institution to ensure the success of a policy imperative at the grass-roots level. Since the policy of edTPA for licensure in Georgia carried high stakes for teacher educators and teacher candidates alike, the transition period allowed faculty to engage in conversations and practices that paid attention to the policy imperative, simultaneously allowing them time to consider how to conserve the values and cultural assets of the institution.

Conditions for shared decision making in the care of transgender youth in Canada

2020 ◽  
Author(s):  
Beth A Clark ◽  
Alice Virani ◽  
Sheila K Marshall ◽  
Elizabeth M Saewyc
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Clinical Practice ◽  
Hormone Therapy ◽  
Shared Decision Making ◽  
Theory Approach ◽  
Shared Decision ◽  
Open Communication ◽  
Decision Making Processes ◽  
Trans Youth

Abstract Information is lacking on the role shared decision making plays in the care of transgender (trans) youth. This qualitative, descriptive study explored how trans youth, parents and health care providers engaged or did not engage in shared decision-making practices around hormone therapy initiation and what conditions supported shared decision-making approaches in clinical practice. Semi-structured interviews were conducted with 47 participants in British Columbia, Canada, and analyzed using a constructivist grounded theory approach. While formal shared decision-making models were not used in practice, many participants described elements of such approaches when asked about their health care decision-making processes. Others described health care interactions that were not conducive to a shared decision-making approach. The key finding that emerged through this analysis was a set of five conditions for supporting shared decision making when making decisions surrounding initiation of hormone therapy with trans youth. Both supportive relationships and open communication were necessary among participants to support shared decision making. All parties needed to agree regarding what decisions were to be made and what role each person would play in the process. Finally, adequate time was needed for decision-making processes to unfold. When stakeholders meet these five conditions, a gender-affirming and culturally safer shared decision-making approach may be used to support decision making about gender-affirming care. Implications for clinical practice and future research are discussed.

The Influence of Family Ties on Men’s Prostate Cancer Screening, Biopsy, and Treatment Decisions

2013 ◽  
Vol 7 (6) ◽  
pp. 461-471 ◽  
Author(s):  
Eric K. Shaw ◽  
John G. Scott ◽  
Jeanne M. Ferrante
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Family Member ◽  
Shared Decision Making ◽  
Prostate Cancer Screening ◽  
Theory Approach ◽  
Shared Decision ◽  
Open Communication ◽  
Relational Dynamics ◽  
Family Ties

Extensive research has focused on understanding family dynamics of men with prostate cancer. However, little qualitative work has examined the role of family ties on men’s prostate cancer decisions across the spectrum of screening, diagnosis, and treatment. Using data from a larger study, we qualitatively explored the influence of family ties on men’s prostate cancer decisions. Semistructured interviews were conducted with men ages ≥50 ( N = 64), and data were analyzed using a grounded theory approach and a series of immersion/crystallization cycles. Three major themes of spousal/family member influence were identified: (a) spousal/family member alliance marked by open communication and shared decision making, (b) men who actively opposed spouse/family member pressure and made final decisions themselves, and (c) men who yielded to spouse/family member pressure. Our findings provide insights into men’s relational dynamics that are important to consider for the shared decision-making process across the prostate cancer spectrum.

scholarly journals Shared Decision Making: A Fundamental Tenet in a Conceptual Framework of Integrative Healthcare Delivery

2013 ◽  
Vol 8 ◽  
pp. IMI.S12783 ◽  
Author(s):  
Alyssa T. Brooks ◽  
Leanne Silverman ◽  
Gwenyth R. Wallen
Keyword(s):  
Decision Making ◽  
Conceptual Framework ◽  
Shared Decision Making ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Shared Decision ◽  
Open Communication ◽  
Holistic Treatment ◽  
The Us ◽  
Care Systems

With the increased usage of complementary and alternative medicine (CAM) in the US comes a need for evidence-based and integrated care systems which encourage open communication between patients and providers. This paper introduces a conceptual framework for integrative care delivery, with shared decision making being the “connecting force” between holistic treatment and improved health outcomes for patients.

Shared decision-making to foster same-day discharge for patients with breast cancer undergoing mastectomy with or without immediate implant-based reconstruction.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 65-65
Author(s):  
Melissa Shelby ◽  
Stephanie Byrum ◽  
Julie A Billar ◽  
Michelle Carnes ◽  
Maryam Khan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Cancer Patients ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Breast Cancer Patients ◽  
Process Change ◽  
Open Communication ◽  
Same Day Discharge ◽  
Immediate Implant

65 Background: In 2020, over 324,500 cases of invasive and non-invasive breast cancer were diagnosed, of which 36% underwent mastectomies. The post-operative period for these breast cancer patients can be an especially taxing time, not just because of the physical recovery involved, but the associated financial toxicity a patient may face. Consideration of these factors, and a desire to optimize shared decision-making between providers, nursing staff and patients, prompted the breast team at Banner MD Anderson Cancer Center (BMDACC) to coordinate a system change in post-operative planning for mastectomy patients. Methods: Implementing same day discharge (SDD) as a quality improvement process change for breast cancer patients undergoing mastectomy with or without immediate implant-based reconstruction began in December 2018. A collaborative effort to reduce length of stay while maintaining quality and safety was the goal of the process change. Shared decision making was utilized as the methodology for the quality initiative. Open communication and honest expectations of the postoperative management allowed the patient to be actively involved and helped to remove any preconceived notions about the necessity of post-operative hospitalization. A chart review comprised of retrospective data from 2017-2018 and prospective data from 2019-2020 was performed on SDD and admitted (ADM) patients who underwent mastectomy with or without immediate implant-based reconstruction. The SDD group was contacted to voluntarily answer a survey on their outpatient surgical experience using the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) .Results: The utilization of shared decision-making revealed an increase in SDD with no increase in readmission or adverse events (Table). The OAS CAHPS survey was completed by78% SDD; findings revealed 95% of patients responded positively to all questions. Conclusions: For patients undergoing mastectomy, with or without immediate implant-based reconstruction, SDD is a safe and value-based initiative that has been adopted as standard of care at BMDACC. [Table: see text]

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

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.

On the evaluation of shared decision making: The Decision Evaluation Scales

2004 ◽  
Author(s):  
P. F. M. Stalmeier ◽  
M. S. Roosmalen ◽  
L. C. G. Josette Verhoef ◽  
E. H. M. Hoekstra-Weebers ◽  
J. C. Oosterwijk ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision

Shared Decision Making to Increase Family Involvement in the Care of Consumers With SMI

2013 ◽  
Author(s):  
Shirley M. Glynn ◽  
Lisa Dixon ◽  
Amy Cohen ◽  
Amy Drapalski ◽  
Deborah Medoff ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Family Involvement ◽  
Shared Decision
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