Respond To Your Colleagues And Offer Alternative View 961674

Respond To Your Colleagues And Offer Alternative Views On The Impact O

Respond to your colleagues and offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared. At least 2 references in each peer responses! Evidence-based practice (EBP) is embedded in the culture of healthcare. It involves the integration of three equally important components: researched evidence, clinical expertise, and patient preferences and values (Laureate Education, 2018). As healthcare and technology evolves, patients are becoming more engaged in their healthcare decisions.

In my current workplace, children’s psychiatric facility, clients are or given the opportunity to be involved in their care consistently. Within 72 hours of admission they are involved in a master’s treatment plan meeting and monthly, they attend a staffing. The staffing consists of transdisciplinary clinicians: psychiatrist, nurse, direct care aide, teacher, individual and family therapist, and parent/guardian. My recent experience/situation involved a 13 year old female patient who was optimistic and goal-oriented on being discharged from the facility before her one year length of stay (inpatient and transitioned to residential). During her monthly staffing, she would come prepared to take notes on the feedback she received from each clinician and her mom.

She documented areas needed for improvement and developed her own chart of progress/plan (typically done by the treatment team of clinicians in extreme cases) for staff to initial, if daily goal was met, at the end of each shift. Inclusion of my clients personally developed chart of progress positively impacted the trajectory of her situation as she reflected on the feedback daily and strived to make healthier choices. She asked for support and staff to partake in her self-made visual guide. During her final staffing, one month before her one year mark, she presented her progress to show how staff participated in helping her excel and recognize some of the behaviors/attitudes she exhibited on a daily basis.

Decision Aid Ottawa Hospital Research Institute (2020) has developed personal decision guides that can be utilized by patients to assist in making social and health-related decisions and plan next steps based on the individual’s needs. The title of the decision aid reviewed selected is Therapies for Children with Autism Spectrum Disorder. This aid is valuable in my career choice. I have countless admissions of children between the ages 5-12 years old with a diagnosis of Autism. In addition, some of my coworkers are new to the field of mental health and have a knowledge deficit on this disorder/behavioral symptoms and how to interact and socialize effectively.

This guide can utilized as a resourceful tool of information/reference. As a scholar-practitioner, I can also utilize this tool in making recommendations regarding useful medication that may help ASD symptoms and positive interventions. Conclusion In conclusion, it is imperative to have all components of evidence- based practice decision making included. Involving patient preferences and values along with transdisciplinary clinicians can lead to increased patient satisfaction and achievement of optimal patient outcomes (Melnyk and Fineout-Overholt, 2018, p.219).

Paper For Above instruction

In the realm of healthcare, patient preferences significantly influence treatment plans and outcomes, especially within the context of evidence-based practice (EBP). The integration of patient values ensures that care is personalized, ethical, and aligned with individual goals, ultimately leading to improved satisfaction and adherence (Williamson et al., 2017). While the shared decision-making model emphasizes the importance of patient preferences, it is essential to critically examine the potential challenges and alternative perspectives regarding its impact on treatment efficacy.

One perspective is that prioritizing patient preferences may sometimes conflict with clinical evidence or safety considerations, potentially resulting in suboptimal or even harmful outcomes. For example, in psychiatric care, patients with severe mental illness may prioritize autonomy over safety, which could impede necessary interventions. Early research suggested that patient-centered approaches could inadvertently delay critical treatments, thus negatively impacting prognosis (LeBlanc et al., 2019). Therefore, there remains a delicate balance between respecting patient autonomy and ensuring clinical efficacy, highlighting the need for skilled clinician-patient communication to navigate these complexities.

Conversely, patient decision aids (PDAs) have demonstrated promise in addressing some of these challenges by supporting informed choices, especially in complex conditions such as Autism Spectrum Disorder (ASD). According to Ottawa Hospital Research Institute (2020), these tools enhance understanding of treatment options and foster shared decision-making, leading to better engagement and satisfaction. However, it is crucial to recognize that PDAs may not fully accommodate individual cognitive levels or cultural differences, which can affect their effectiveness. Therefore, customizing PDAs to individual needs and providing adequate clinician support is vital for maximizing their benefits.

Furthermore, the role of family involvement is particularly significant in pediatric and mental health settings where patient preferences intersect with caregiver and clinician inputs. As noted in the case of the 13-year-old patient, engaging young patients in their care can promote autonomy and self-efficacy, which are linked to positive health outcomes (Moser et al., 2016). However, involving minors in decision-making should be developmentally appropriate and supplemented with parental guidance to ensure a balanced approach that respects both the young patient’s voice and safety considerations.

Additionally, technology-driven decision aids, including digital apps and interactive platforms, continue to evolve, offering tailored support that accommodates diverse learning styles and literacy levels. Implementing these innovations in clinical practice can improve patient engagement and adherence (Stacey et al., 2017). Nevertheless, healthcare providers must be trained to interpret and communicate the information effectively, emphasizing that decision aids are adjuncts rather than replacements for empathetic clinician communication.

In conclusion, the impact of patient preferences on treatment deeply influences the trajectory of patient care. While challenges exist, the strategic use of decision aids and shared decision-making models enhances the alignment of treatment with patient values, ultimately leading to better health outcomes. Clinicians must remain vigilant to balance evidence-based recommendations with individual patient needs, ensuring ethical, respectful, and effective care delivery.

References

• LeBlanc, T., Minichiello, A., Diers, J. P., & Ginsberg, S. (2019). Enhancing Shared Decision-Making in Mental Health Care. Journal of Psychiatric & Mental Health Nursing, 26(2), 65–74.
• Ottawa Hospital Research Institute. (2020). Tools and Resources: Therapies for Children with Autism Spectrum Disorder. https://decisionaid.ohri.ca/.
• Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Wolters Kluwer.
• Stacey, D., Légaré, F., Lewis, K., et al. (2017). Decision Aids for People Facing Health Treatment or Screening Decisions. Cochrane Database of Systematic Reviews, (4), CD001431.
• Williamson, J., Vanderslott, S., & McKinlay, A. (2017). Patient-centered Care and Shared Decision-Making: The Policy and Practice Implications. Journal of Health Services Research & Policy, 22(3), 155–158.
• Moser, S., Klinger, S., & Stein, A. (2016). Engaging Children in Health Care Decisions: Benefits and Challenges. Pediatric Nursing, 42(4), 176–182.
• Laureate Education. (2018). Evidence-Based Practice in Healthcare. [Lecture Notes].
• LeBlanc, T., Minichiello, A., Diers, J. P., & Ginsberg, S. (2019). Enhancing Shared Decision-Making in Mental Health Care. Journal of Psychiatric & Mental Health Nursing, 26(2), 65–74.
• Stacey, D., Légaré, F., Lewis, K., et al. (2017). Decision Aids for People Facing Health Treatment or Screening Decisions. Cochrane Database of Systematic Reviews, (4), CD001431.
• Ottawa Hospital Research Institute. (2020). Tools and Resources: Therapies for Children with Autism Spectrum Disorder. https://decisionaid.ohri.ca/.