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Description

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.

Discussion: Patient Preferences and Decision Making
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.
By Day 3 of Week 8
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.
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings
List, found in the Course Materials section of your Syllabus.
Required Readings
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. Retrieved from https://jamanetwork.com/journals/jama/articleabstract/1910118
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. Retrieved
from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4788386/
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.

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