At Least 2 Citations APA 7th Edition Respond To This Post
At Least 2 Citations Apa 7th Editionrespond To This Posthealthcare I
Healthcare is fundamentally a patient-centered process that thrives on effective communication, shared decision making, and evidence-based practice. Ensuring that patients and their families are actively involved in care decisions not only aligns with ethical principles but also improves clinical outcomes by fostering trust and adherence to treatment plans. As Hoffmann, Montori, and Del Mar (2014) emphasize, shared decision making and evidence-based practice are intricately linked, each reinforcing the other and essential for delivering high-quality, personalized healthcare.
In the described scenario, the multidisciplinary rounding approach exemplifies how collaborative decision making should be implemented in clinical practice. The team’s effort to involve the patient in understanding the risks and benefits of open-heart surgery demonstrates adherence to principles of effective communication and patient engagement. This method aligns with findings by Kon et al. (2016), who advocate for three critical components of shared decision making: information discussion, deliberation, and decision making. Incorporating these steps fosters informed consent and empowers patients, enabling them to participate actively in their care.
Furthermore, decision aids serve as valuable tools in facilitating shared decision making, especially when patients face complex choices such as whether to undergo angioplasty. The use of decision aids improves patient understanding by clearly outlining the benefits, risks, and alternatives associated with procedures (Ottawa Hospital Research Institute, 2019). This transparency promotes patient autonomy and can potentially improve health outcomes by ensuring patients’ values and preferences guide clinical decisions. For example, a patient presented with stable angina and significant occlusions might choose surgery based on a comprehensive understanding gained via decision aids, rather than solely on clinician recommendations.
In my own practice, integrating decision aids and fostering shared decision making would be instrumental in ensuring that patients are fully informed and comfortable with their care options. As healthcare professionals, it is imperative to prioritize communication strategies that emphasize patient engagement, thereby respecting their autonomy and improving overall satisfaction with care.
References
- Hoffmann, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. JAMA, 312(13), 1295–1296. https://doi.org/10.1001/jama.2014.6495
- Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision-making in intensive care units. Executive summary of the American College of Critical Care Medicine and American Thoracic Society policy statement. American Journal of Respiratory and Critical Care Medicine, 194(10), 1334–1336. https://doi.org/10.1164/rccm.201608-1530ST
- Ottawa Hospital Research Institute. (2019). Patient decision aids. https://decisionaid.ohri.ca
- Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in clinical medicine: Past research and future directions. The American Journal of Preventive Medicine, 13(4), 406-415. https://doi.org/10.1016/S0749-3797(97)00045-9
- Elwyn, G., Frosch, D., & Thomson, R. (2012). Shared decision making: A model for clinical practice. Journal of General Internal Medicine, 27(10), 1361–1367. https://doi.org/10.1007/s11606-012-2077-6
- Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (7th ed.). Oxford University Press.
- Savoo, S., Hupcey, J., & Tarn, J. (2014). Patient-centered care: Benefits, barriers, and approaches. BMJ Quality & Safety, 23(4), 293–294. https://doi.org/10.1136/bmjqs-2012-000968
- Schünemann, H. J., et al. (2014). GRADE guidelines: 14. Going from evidence to recommendations — determinants of a recommendation’s strength. Journal of Clinical Epidemiology, 67(12), 1299–1304. https://doi.org/10.1016/j.jclinepi.2014.07.019
- Stacey, D., et al. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, (4), CD001431. https://doi.org/10.1002/14651858.CD001431.pub4
- Légaré, F., et al. (2014). Shared decision making in primary care: Challenges and opportunities. Healthcare Policy, 10(3), 55–66. https://doi.org/10.12927/hcpol.2014.23750