Ready for shared decision making: Pretesting a training module for health professionals on sharing decisions with their patients.

Autor: Kienlin S; Faculty of Health Sciences, Department of Health and Caring Sciences, UiT The Arctic University of Norway, Langnes, Norway.; The South-Eastern Norway Regional Health Authority, Department of Medicine and Healthcare, Hamar, Norway.; Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway., Nytrøen K; Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.; Faculty of Medicine, University of Oslo, Oslo, Norway., Stacey D; School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Kasper J; Faculty of Health Sciences, Department of Health and Caring Sciences, UiT The Arctic University of Norway, Langnes, Norway.; Faculty of Health Sciences, Department of Nursing and Health Promotion, OsloMET Metropolitan University, Oslo, Norway.
Jazyk: angličtina
Zdroj: Journal of evaluation in clinical practice [J Eval Clin Pract] 2020 Apr; Vol. 26 (2), pp. 610-621. Date of Electronic Publication: 2020 Mar 01.
DOI: 10.1111/jep.13380
Abstrakt: Introduction: While shared decision-making (SDM) training programmes for health professionals have been developed in several countries, few have been evaluated. In Norway, a comprehensive curriculum, "klar for samvalg" (ready for SDM), for interprofessional health-care teams was created using generic didactic methods and guidance to tailor training to various contexts. The programmes adapted didactic methods from an evidence-based German training programmes (doktormitSDM). The overall aim was to evaluate two particular SDM modules on facilitating SDM implementation into clinical practice.
Method: A descriptive mixed methods study using questionnaires and a focus group guided by the Medical Research Council Complex Interventions Framework. The training was provided as two different applications (module AB [introduction and SDM-basics] and module ABC [introduction, SDM-basics and interactive training]) with differing learning objectives, extent of interactivity, and duration (1 vs 2 hours). Groups of participants were recruited consecutively based on requests for health professional SDM training in university/college- and hospital-settings. By a focus group and a self-administered questionnaire comprehensibility, relevance and acceptance were assessed and qualitative feedback collected after the training. Data passed descriptive and content analysis, respectively. Knowledge was assessed twice using five multiple-choice items and analysed using paired t-tests.
Results: In 11 (six AB and five ABC) training sessions, 357/429 (296 AB and 133 ABC) eligible nurses, physicians and health professional students with varying clinical backgrounds and previous levels of SDM-knowledge participated. SDM-knowledge increased from 25-78% (range pretest) to 85-95% (range post-test) (P ≤ .001). The training was rated easy to understand, acceptable and relevant for practice. Findings to improve the education suggest higher emphasis on interprofessional teaching methods.
Conclusions: The two SDM training modules met the basic requirements for use in a broader SDM implementation strategy and can even improve knowledge.
(© 2020 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje