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Nurs Health Sci. 2021 Nov 06; doi: 10.1111/nhs.12901. Epub 2021 Nov 06.

Engaging consumers and health professionals in collaborative decision-making to optimize care.

Nursing & health sciences

Chiung-Jung Jo Wu, Megan Giles, Morne Terblanche, Anne Drabble

Affiliations

  1. School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast (USC), Moreton Bay campus, Australia.
  2. Royal Brisbane and Women's Hospital (RBWH), Herston, Australia.
  3. Safety Quality & Innovation, Sunshine Coast Hospital and Health Service, Birtinya, Australia.
  4. School of Education and Tertiary Access, University of the Sunshine Coast (USC), Sippy Downs, Australia.

PMID: 34741561 DOI: 10.1111/nhs.12901

Abstract

Shared communication and collaborative decision-making between consumers and health professionals is essential in optimizing the quality of consumer care. However, the consumers' ability to ask questions and seek answers, as well as health professionals' communication skills to engage with the consumer, are necessary considerations for the collaborative decision-making process. This quality improvement initiative sought to understand the context of collaborative decision making from the perspective of consumers and health professionals adapted from the international Choosing Wisely program. Findings indicated health professionals acknowledged a problem with unnecessary and overuse of tests, treatments, and procedures. Consumers suggested they were confident asking questions about their health and care. The findings of this study highlight collaborative decision-making as a worthwhile and beneficial undertaking.

© 2021 John Wiley & Sons Australia, Ltd.

Keywords: Choosing Wisely; collaborative decision-making; consumer; interdisciplinary; multidisciplinary

References

  1. Allen, J., King, R., Goergen, S. K., Melder, A., Neeman, N., Hadley, A., & Hutchinson, A. M. (2019). Semistructured interviews regarding patients' perceptions of choosing wisely and shared decision-making: An Australian study. BMJ Open, 9(8), e031831. - PubMed
  2. Ayton, D., Braaf, S., Jones, A., Teede, H., Gardam, M., Bergmeier, H., & Skouteris, H. (2021). Barriers and enablers to consumer and community involvement in research and healthcare improvement: Perspectives from consumer organisations, health services and researchers in Melbourne, Australia. Health and Social Care in the Community. 1-14. https://doi.org/10.1111/hsc.13515 - PubMed
  3. Birkhäuer, J., Gaab, J., Kossowsky, J., Hasler, S., Krummenacher, P., Werner, C., & Gerger, H. (2017). Trust in the health care professional and health outcome: A meta-analysis. PLoS One, 12(2), e0170988. - PubMed
  4. Bomhof-Roordink, H., Gärtner, F. R., Stiggelbout, A. M., & Pieterse, A. H. (2019). Key components of shared decision making models: A systematic review. BMJ Open, 9(12), e031763. - PubMed
  5. Born, K. B., Coulter, A., Han, A., Ellen, M., Peul, W., Myres, P., Lindner, R., Wolfson, D., Bhatia, R. S., & Levinson, W. (2017). Engaging patients and the public in Choosing Wisely. BMJ Quality and Safety, 26(8), 687-691. - PubMed
  6. Buist, D. S., Chang, E., Handley, M., Pardee, R., Gundersen, G., Cheadle, A., & Reid, R. J. (2016). Primary care clinicians' perspectives on reducing low-value care in an integrated delivery system. The Permanente Journal, 20(1), 41-46. - PubMed
  7. Choosing Wisely Australia. (2018). Conversations for change: 2018 report. NPS MedicineWise. https://www.choosingwisely.org.au/assets/2018.pdf. - PubMed
  8. Choosing Wisely UK. (2020). Shared Decision Making Resources. https://www.choosingwisely.co.uk/resources/shared-decision-making-resources/. - PubMed
  9. Embrett, M., & Randall, G. E. (2018). Physician perspectives on Choosing Wisely Canada as an approach to reduce unnecessary medical care: A qualitative study. Health Research Policy and Systems, 16(1), 95. - PubMed
  10. Hoffmann, T. C., Légaré, F., Simmons, M. B., McNamara, K., McCaffery, K., Trevena, L. J., Hudson, B., Glasziou, P. P., & Del Mar, C. B. (2014). Shared decision making: What do clinicians need to know and why should they bother? The Medical Journal of Australia, 201(1), 35-39. - PubMed
  11. Ives, J., Papanikitas, A., Myres, P., & Gregory, S. (2018). Shared decision making: A need for honesty? British Journal of General Practice, 68(671), 292-293. - PubMed
  12. Keijzers, G., Cullen, L., Egerton-Warburton, D., & Fatovich, D. M. (2018). Don't just do something, stand there! The value and art of deliberate clinical inertia. Emergency Medicine Australasia, 30(2), 273-278. - PubMed
  13. Langley, G. J., Moen, R. D., Nolan, K. M., Nolan, T. W., Norman, C. L., & Provost, L. P. (2009). The improvement guide: A practical approach to enhancing organizational performance (2nd ed.). San Francisco, USA: Jossey-Bass. - PubMed
  14. Levinson, W., Born, K., & Wolfson, D. (2018). Choosing Wisely campaigns: A work in progress. Journal of the American Medical Association, 319(19), 1975-1976. - PubMed
  15. Muscat, D. M., Chang, E. H., Thompson, R., Cvejic, E., Tracy, M., Zadro, J., Smith, J. K., Lindner, R., & McCaffery, K. (2019). Evaluation of the Choosing Wisely Australia 5 Questions resource and a shared decision-making preparation video: Protocol for an online experiment. BMJ Open, 9(11), e033126. - PubMed
  16. Murphy, J., Tanner, T., & Komorowski, J. (2019). Shared decision-making with Choosing Wisely. Nursing for Women's Health, 23(3), 253-264. https://doi.org/10.1016/j.nwh.2019.03.00 - PubMed
  17. Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2016). SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised publication guidelines from a detailed consensus process. BMJ Quality & Safety, 25, 986-992. - PubMed
  18. Provost, L. P., & Murray, S. K. (2011). The health care data guide: Learning From Data for Improvement. San Francisco, USA: Jossey-Bass. - PubMed
  19. Schlesinger, M., & Grob, R. (2017). Treating, fast and slow: Americans' understanding of and responses to low-value care. The Milbank Quarterly, 95(1), 70-116. - PubMed
  20. Schoenfeld, E. M., Probst, M. A., Quigley, D. D., St Marie, P., Nayyar, N., Sabbagh, S. H., Beckford, T., & Kanzaria, H. K. (2019). Does shared decision making actually occur in the emergency department? Looking at it from the patients' perspective. Academic Emergency Medicine, 26(12), 1369-1378. - PubMed
  21. Scott, I. A., Soon, J., Elshaug, A. G., & Lindner, R. (2017). Countering cognitive biases in minimising low value care. The Medical Journal of Australia, 206(9), 407-411. - PubMed
  22. Seeleman, C., Essink-Bot, M. L., Stronks, K., & Ingleby, D. (2015). How should health service organizations respond to diversity? A content analysis of six approaches. BMC Health Services Research, 15, 510. - PubMed
  23. Wright, S. M., Hedin, S. C., McConnell, M., Burke, B. V., Watts, S. A., Leslie, D. M., Aron, D. C., & Pogach, L. M. (2018). Using shared decision-making to address possible overtreatment in patients at high risk for hypoglycemia: The veterans health Administration's choosing wisely hypoglycemia safety initiative. Clinical Diabetes, 36(2), 120-127. - PubMed
  24. Yu, K., Anstey, M., Cutherbertson, J., Jammali-Blasi, A., Melder, A., Toleman, J. & Lindner, R. (2019). Choosing Wisely in Australian hospitals: Lessons from the field. MJA InSight, https://insightplus.mja.com.au/2019/10/implementing-choosing-wisely-in-australian-hospitals-lessons-from-the-field/ - PubMed

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