Ready for SDM: evaluating a train-the-trainer program to facilitate implementation of SDM training in Norway.

Autor: Kienlin S; Department of Health and Caring Sciences, Faculty of Health Sciences, University of Tromsø, Postbox 6050, Langnes, Norway. simone.kienlin@gmail.com.; Division of Internal Medicine, University Hospital of North Norway, Postbox 100, 9038, Tromsø, Norway. simone.kienlin@gmail.com.; Department of Medicine and Healthcare, The South-Eastern Norway Regional Health Authority, Postbox 404, 2303, Hamar, Norway. simone.kienlin@gmail.com., Poitras ME; Department of Family Medicine and Emergency Medicine/School of Nursing, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada., Stacey D; School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada.; Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada., Nytrøen K; Faculty of Medicine, University of Oslo, Blindern, Postbox 1072, 0316, Oslo, Norway., Kasper J; Department of Health and Caring Sciences, Faculty of Health Sciences, University of Tromsø, Postbox 6050, Langnes, Norway.; Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet Metropolitan University, Pilestredet 46, 0167, Oslo, Norway.
Jazyk: angličtina
Zdroj: BMC medical informatics and decision making [BMC Med Inform Decis Mak] 2021 Apr 30; Vol. 21 (1), pp. 140. Date of Electronic Publication: 2021 Apr 30.
DOI: 10.1186/s12911-021-01494-x
Abstrakt: Background: Healthcare providers need training to implement shared decision making (SDM). In Norway, we developed "Ready for SDM", a comprehensive SDM curriculum tailored to various healthcare providers, settings, and competence levels, including a course targeting interprofessional healthcare teams. The overall aim was to evaluate a train-the-trainer (TTT) program for healthcare providers wanting to offer this course within their hospital trust.
Methods: Our observational descriptive design was informed by Kirkpatrick´s Model of Educational Outcomes. The South-Eastern Regional Health Authority invited healthcare providers from all health trusts in its jurisdiction to attend. The TTT consisted of a one-day basic course with lectures on SDM, exercises and group reflections followed by a two-day advanced course including an SDM observer training. Immediately after each of the two courses, reaction and learning (Kirkpatrick levels 1 and 2) were assessed using a self-administered questionnaire. After the advanced course, observer skills were operationalized as accuracy of the participants' assessment of a consultation compared to an expert assessment. Within three months post-training, we measured number of trainings conducted and number of healthcare providers trained (Kirkpatrick level 3) using an online survey. Qualitative and quantitative descriptive analysis were performed.
Results: Twenty-one out of 24 (basic) and 19 out of 22 (advanced) healthcare providers in 9 health trusts consented to participate. The basic course was evaluated as highly acceptable, the advanced course as complex and challenging. Participants identified a need for more training in pedagogical skills and support for planning implementation of SDM-training. Participants achieved high knowledge scores and were positive about being an SDM trainer. Observer skills regarding patient involvement in decision-making were excellent (mean of weighted t = .80). After three months, 67% of TTT participants had conducted more than two trainings each and trained a total of 458 healthcare providers.
Conclusion: Findings suggest that the TTT is a feasible approach for supporting large-scale training in SDM. Our study informed us about how to improve the advanced course. Further research shall investigate the efficacy of the training in the context of a comprehensive multifaceted strategy for implementing SDM in clinical practice.
Trial Registration: Retrospectively registered at ISRCTN (99432465) March 25, 2020.
Databáze: MEDLINE
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