Shared decision making is a key component of patient- centered health care. It is a process in which clinicians and patients work together to make decisions and select tests, treatments and care plans based on clinical evidence that balances risks and expected outcomes with patient preferences and values.
Shared decisionmaking occurs when a health care provider and a patient work together to make a health care decision that is best for the patient. The optimal decision takes into account evidence-based information about available options, the provider’s knowledge and experience, and the patient’s values and preferences.
In this overview we describe the three essential elements of shared decision making: recognizing and acknowledging that a decision is required; knowing and understanding the best available evidence; and incorporating the patient’s values and preferences into the decision.
The benefits of shared decision making include enabling evidence and patients’ preferences to be incorporated into a consultation; improving patient knowledge, risk perception accuracy and patient–clinician communication; and reducing decisional conflict, feeling uninformed and inappropriate use of tests and treatments …
What is clinical decision making?
The developed definition was “Clinical decision making is a contextual, continuous, and evolving process, where data are gathered, interpreted, and evaluated in order to select an evidence-based choice of action.” A contiguous framework for clinical decision making specific for nurse practitioners is also proposed.
Shared decision- making (SDM) is the conversation that happens between a patient and clinician to reach a healthcare choice together. Examples include decisions about surgery, medications, self-management, and screening and diagnostic tests.
The evidence around shared decision making is fairly strong. Shared decision making has been shown to result in treatment plans that better reflect patients’ goals; increase patient and physician satisfaction; improve patient-physician communication; have a positive effect on outcomes; and, sometimes reduce costs.
In another study about patients’ preferred role in deci‑ sion making for invasive medical procedures,29 about 80% wanted shared decision making or patient led decision making, and 93% of patients wanted their clinicians to share risk information with them.
- Step 1: Seek your patient’s participation.
- Step 2: Help your patient explore and compare treatment options.
- Step 3: Assess your patient’s values and preferences.
- Step 4: Reach a decision with your patient.
- Step 5: Evaluate your patient’s decision.
Critics of shared decision-making argue that most patients do not want to participate in decisions; that revealing the uncertainties inherent in medical care could be harmful; that it is not feasible to provide information about the potential risks and benefits of all treatment options; and that increasing patient …
Shared decision-making, therefore, takes place in a relationship that is participatory, collaborative, open, and respectful. The relationship is one in which there are at least two participants: the nurse, as the provider, and the patient.
Shared decision making is always a positive strategy to take. … Making financial decisions is fairly rare; most people make only a few during their lifetime.
What is an example of clinical decision-making?
Examples of CDS tools include order sets created for particular conditions or types of patients, recommendations, and databases that can provide information relevant to particular patients, reminders for preventive care, and alerts about potentially dangerous situations.
Why is clinical decision-making important?
The process of coming to a choice is the essence of decision making. … The decisions nurses make while performing nursing care will influence their effectiveness in clinical practice and make an impact on patients’ lives and experiences with health care regardless of which setting or country the nurse is practicing in.
What is good clinical decision-making?
Clinical decision making is a balance of experience, awareness, knowledge and information gathering, using appropriate assessment tools, your colleagues and evidence-based practice to guide you. Good decisions = safe care. Good, effective clinical decision making requires a combination of experience and skills.