O-081: “The last chance” – a qualitative study about patient experiences of decision-making preceding Trans-catheter Aortic Valve Implantation (TAVI)

Skaar, Elisabeth; Ranhoff, Anette Hylen; Nordrehaug, Jan Erik; Forman, Daniel E.; Schaufel, Margrethe Aase

doi:10.1016/s1878-7649(15)30094-2

Cited by 4 publications

(42 citation statements)

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“…Most studies (Heggland & Hausken, 2014; Kannan et al, 2020; Keij et al, 2021; Skaar et al, 2017; van Beek‐Peeters et al, 2022; Zeuner et al, 2015) ( n = 6) were qualitative research studies except two (Driever et al, 2020; Gualano et al, 2019) that used a cross‐sectional design. The authors of the eight selected articles came from four different countries (Netherlands ( n = 3), Norway ( n = 2), United States of America ( n = 2) and Italy ( n = 1)).…”

Section: Resultsmentioning

confidence: 99%

“…The authors of the eight selected articles came from four different countries (Netherlands ( n = 3), Norway ( n = 2), United States of America ( n = 2) and Italy ( n = 1)). The roles and competencies required to practice shared decision‐making were studied from the perspective of the patient (Gualano et al, 2019; Skaar et al, 2017), the professional (Driever et al, 2020; Kannan et al, 2020; van Beek‐Peeters et al, 2022; Zeuner et al, 2015) or both (Heggland & Hausken, 2014; Keij et al, 2021). One study (Heggland & Hausken, 2014) also questioned researchers.…”

Section: Resultsmentioning

confidence: 99%

“…Among the physicians and medical specialists, it was mainly measured what the beliefs, perceptions, roles and experiences were with regard to shared decision‐making. In addition, the patients' perception of their involvement in treatment choices was explored (Gualano et al, 2019; Skaar et al, 2017). Of the eight selected studies, one study specifically focused on identifying patients' skills and abilities to participate in shared decision‐making (Keij et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…No qualitative study fulfilled all criteria on the JBI checklist for qualitative research. In five (Kannan et al, 2020; Keij et al, 2021; Skaar et al, 2017; van Beek‐Peeters et al, 2022; Zeuner et al, 2015) qualitative studies, there was a lack of clarity regarding the researchers' cultural and theoretical orientation and the influence of the researchers on the research.…”

Section: Resultsmentioning

confidence: 99%

“…For professionals, 26 skills have emerged in the literature. We classified the skills found into five key professional roles: moderator (Driever et al, 2020; Kannan et al, 2020; Zeuner et al, 2015); health educator (Kannan et al, 2020; Keij et al, 2021; van Beek‐Peeters et al, 2022); data collector (Heggland & Hausken, 2014; van Beek‐Peeters et al, 2022; Zeuner et al, 2015); psychological supporter (Keij et al, 2021; Skaar et al, 2017; van Beek‐Peeters et al, 2022) and translator (Gualano et al, 2019; Heggland & Hausken, 2014). In the studies, all these roles are assigned to both physicians and nurses.…”

Section: Resultsmentioning

confidence: 99%

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Roles and competencies of nurses and physicians in shared decision‐making in cardiac surgery: A scoping review

Paans

Mariani

Dieperink

et al. 2023

Journal of Advanced Nursing

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AimIdentification and synthesis of research data related to the roles and competencies of physicians and nurses that are prerequisites for careful shared decision‐making with patients potentially undergoing cardiac surgery.DesignA scoping review was conducted in accordance with the Joanna Briggs Institute's methodology for scoping reviews and the PRISMA Extension for Scoping Reviews.MethodsPubMed, EMBASE and CINAHL were searched from inception dates up to March 2022, to identify primary studies published in a peer‐reviewed journal. Study selection, assessment of the methodological quality and data extracting of the included studies were done by at least two independent researchers. To describe the findings of the studies, an emergent synthesis approach was used to visualize a descriptive representation of professional roles and competencies in shared decision‐making, in an overview.ResultsThe systematic search revealed 10,055 potential papers, 8873 articles were screened on title and abstract and 76 full texts were retrieved. Eight articles were included for final evaluation. For nurses and physicians, 26 different skills were identified in the literature to practice shared decision‐making in cardiac surgery. The skills that emerged were divided into five professional roles: moderator; health educator; data collector; psychological supporter and translator.ConclusionsThis review specifies the professional roles and required competencies related to shared decision‐making in cardiac surgery. Further research is needed to compare our findings with other clinical areas and from there to arrive at a professional division of roles between the different clinical disciplines involved.ImpactThe visualization of generic shared decision‐making competencies and roles should establish the professional division of positions between various clinical physician and nurse disciplines in order to create a treatment plan based on evidence, values, preferences and the patient's personal situation.Patient or Public ContributionNo patient or public contribution.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Roles and competencies of nurses and physicians in shared decision‐making in cardiac surgery: A scoping review

Paans

Mariani

Dieperink

et al. 2023

Journal of Advanced Nursing

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228 Shared decision making and advance care planning: a systematic literature review and novel decision-making model

Rosca,

Karzig,

Kasper

et al. 2024

Shared Decision Making With Breast Cancer Patients – Does It Work?

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Shared decision making and advance care planning: a systematic literature review and novel decision-making model

Rosca,

Karzig-Roduner,

Kasper

et al. 2023

BMC Med Ethics

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Background and Aims Shared decision making (SDM) and advance care planning (ACP) are important evidence and ethics based concepts that can be translated in communication tools to aid the treatment decision-making process. Although both have been recommended in the care of patients with risks of complications, they have not yet been described as two components of one single process. In this paper we aim to (1) assess how SDM and ACP is being applied, choosing patients with aortic stenosis with high and moderate treatment complication risks such as bleeding or stroke as an example, and (2) propose a model to best combine the two concepts and integrate them in the care process. Methods In order to assess how SDM and ACP is applied in usual care, we have performed a systematic literature review. The included studies have been analysed by means of thematic analysis as well as abductive reasoning to determine which SDM and ACP steps are applied as well as to propose a model of combining the two concepts into one process. Results The search in Medline, Cinahl, Embase, Scopus, Web of science, Psychinfo and Cochrane revealed 15 studies. Eleven describe various steps of SDM while four studies discuss the documentation of goals of care. Based on the review results and existing evidence we propose a model that combines SDM and ACP in one process for a complete patient informed choice. Conclusion To be able to make informed choices about immediate and future care, patients should be engaged in both SDM and ACP decision-making processes. This allows for an iterative process in which each important decision-maker can share their expertise and concerns regarding the care planning and advance care planning. This would help to better structure and prioritize information while creating a trustful and respectful relationship between the participants. PROSPERO 2019. CRD42019124575

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O-081: “The last chance” – a qualitative study about patient experiences of decision-making preceding Trans-catheter Aortic Valve Implantation (TAVI)

Cited by 4 publications

References 0 publications

Roles and competencies of nurses and physicians in shared decision‐making in cardiac surgery: A scoping review

Roles and competencies of nurses and physicians in shared decision‐making in cardiac surgery: A scoping review

228 Shared decision making and advance care planning: a systematic literature review and novel decision-making model

Shared decision making and advance care planning: a systematic literature review and novel decision-making model

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