Assignment: Physicians and Nurses

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Assignment: Physicians and Nurses

Assignment: Physicians and Nurses

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Frequency data for the

5-point Likert scale items were collapsed into

three categories: �agreed ⁄ strongly agreed�, �neu-

tral� and �disagreed ⁄ strongly disagreed�. Mean response scores ± standard deviations were

also calculated for the same data using Micro-

soft Excel functions. Responses to open-ended

questions were summarized according to themes.

Results

Study population

In total, 29 of the 42 (71%) possible providers,

including 27 physicians and two nurse practitio-

ners, responded to the survey and acknowledged

that they had referred patients to the randomized

clinical trial. Of the 29 respondents, 4 (14%) had

received their degrees between 2000 and 2009, 15

(52%) between 1990 and 1999, and 6 (28%)

before 1990; two declined to answer the question.

Perspectives on SDM

As shown in Table 2, the majority of providers

(>60%) agreed or strongly agreed that the

decision aid complemented their usual approach

Table 1 Provider perspectives on the utility of the decision aid for facilitating SDM

From my clinical perspective, the decision aid

Response category, n (%)

Mean item

score (SD)*

Strongly

agree ⁄ agree Neutral

Strongly

disagree ⁄ disagree

4. Complemented my usual approach to CRC screening 24 (86) 4 (14) 0 4.3 ± 0.7

5. Improved my usual approach to CRC screening 16 (59) 8 (30) 3 (11) 3.7 ± 1.0

6. Helped me tailor my counselling about CRC

screening to my patient�s needs 12 (44) 11 (41) 4 (15) 3.5 ± 1.0

7. Saved me time 18 (64) 6 (21) 4 (14) 3.8 ± 1.0

8. Improved the quality of patient visits 14 (52) 9 (33) 4 (15) 3.6 ± 1.0

9. Increased my patients� satisfaction with my care 10 (40) 13 (52) 2 (8) 3.4 ± 0.8 10. Is an appropriate use of my patient�s clinic time 27 (93) 1 (3) 1 (3) 4.1 ± 0.6 11. Increase patient knowledge about the different

CRC screening options

26 (90) 3 (10) 0 4.3 ± 0.6

12. Helped patients understand the benefits ⁄ risks of the recommended screening options

24 (83) 5 (17) 0 4.1 ± 0.7

13. Helped patients in identifying preferred

screening option

21 (72) 7 (24) 1 (3) 4.0 ± 0.8

14. Improved the quality of the decision making 22 (79) 6 (21) 0 4.0 ± 0.7

15. Increased patients� desire to get screened 21 (75) 5 (18) 2 (7) 3.9 ± 0.9

CRC, colorectal cancer; SD, standard deviation; SDM, shared decision making.

*1 = strongly disagree; 5 = strongly agree.

Colorectal cancer screening decision aid, P C Schroy, S Mylvaganam and P Davidson

� 2011 John Wiley & Sons Ltd Health Expectations, 17, pp.27–35

30

to CRC screening, was an appropriate use of

their patient�s clinic time, saved them time, increased patient knowledge about the various

CRC screening options and their risks and

benefits, helped the patients identify a preferred

screening option, improved the quality of deci-

sion making, and increased their patients� desire to get screened. Providers were more neutral in

their assessment of the decision aid�s utility for improving their usual approach to CRC

screening, helping them tailor their counselling

style to their patients� needs, improving the quality of patient visits, and increasing patient

satisfaction with their care. Relatively few pro-

viders disagreed or strongly disagreed with any

of these measures.

Perspectives on clinical use and content

modification

 

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