Pasientmedvirkning ved beslutninger om behandling

Gulbrandsen, Pål; Ofstad, Eirik Hugaas; Holmøy, Trygve; Vandvik, Per Olav

doi:10.4045/tidsskr.14.0239

Cited by 1 publication

(4 citation statements)

References 19 publications

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“…Attention to shared decision‐making in cardiac care is essential, especially nowadays, given the expected increase in the prevalence of cardiovascular disease and increasing medical complexity, healthcare costs and shortage of healthcare professionals (Huber et al, 2007; Pratesi et al, 2017; Sepehri et al, 2014). Despite these developments, cardiac surgery is still based on the biomedical model, in which patient involvement regarding treatment choices is minimal (Gulbrandson et al, 2014). A shift in clinical practice towards a biopsychosocial approach, in which we incorporate both best available evidence and the patients' individual context in relation to treatment options, is imminent and in line with current developments in healthcare.…”

Section: Discussionmentioning

confidence: 99%

“…Attention to shared decisionmaking in cardiac care is essential, especially nowadays, given the expected increase in the prevalence of cardiovascular disease and increasing medical complexity, healthcare costs and shortage of healthcare professionals (Huber et al, 2007;Pratesi et al, 2017;Sepehri et al, 2014). Despite these developments, cardiac surgery is still based on the biomedical model, in which patient involvement regarding treatment choices is minimal (Gulbrandson et al, 2014).…”

Section: Implications For Clinical Practicementioning

confidence: 99%

“…There is some evidence in the literature that the process needed to achieve informed decision‐making, generally can be improved in cardiac surgery (Beyersdorf et al, 2021; Gulbrandson et al, 2014). Possible causes for the alleged insufficient substantive and procedural quality in the shared decision‐making process could be time restrictions, the traditional focus on informed consent and the perception of healthcare professionals about the patient's information processing capacity (Korteland et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…There is some evidence in the literature that the process needed to achieve informed decision-making, generally can be improved in cardiac surgery (Beyersdorf et al, 2021;Gulbrandson et al, 2014).…”

Section: Introductionmentioning

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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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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