NRS 6052 Patient Preferences and Decision Making DQ

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NRS 6052 Patient Preferences and Decision Making DQ

NRS 6052 Patient Preferences and Decision Making DQ



Changes in
culture and technology have resulted in patient populations that are often well
informed and educated, even before consulting or considering a healthcare need
delivered by a health professional. Fueled by this, health professionals are
increasingly involving patients in treatment decisions. However, this often
comes with challenges, as illnesses and treatments can become complex.

What has
your experience been with patient involvement in treatment or healthcare

In this
Discussion, you will share your experiences and consider the impact of patient
involvement (or lack of involvement). You will also consider the use of a
patient decision aid to inform best practices for patient care and healthcare
decision making.

To Prepare:

Review the
Resources and reflect on a time when you experienced a patient being brought
into (or not being brought into) a decision regarding their treatment plan.

Review the
Ottawa Hospital Research Institute’s Decision Aids Inventory at

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Choose “For
Specific Conditions,” then Browse an alphabetical listing of decision aids by
health topic.

ensure compliance with HIPAA rules, please DO NOT use the patient’s real name
or any information that might identify the patient or organization/practice.


Objective: This study evaluated patient preferences about involvement in medical decision making and factors that might influence these preferences.

Methods: A questionnaire was used that had one general question and 10 different clinical scenarios, followed by a list of seven options that described varying degrees of patient participation in the clinical decision-making process. The participants were patients presenting to a family practice residency clinic.

Results: Using paired t tests, patient responses to seven of 10 clinical scenarios (70%) were statistically significantly different from their responses as predicted by the general question. Six responses showed a positive relationship, ie, patients wanted to give the physician more control than they indicated by their response to the general question. Paired t tests then compared responses to each scenario with responses to every other scenario; 26 of 45 (58%) were significantly different. A factor analysis suggested groupings of scenarios. Significant differences for decision-making preferences were found among age groups and among educational levels. Cronbach’s alpha, a measure of internal consistency, was calculated at .81.

Conclusions: Although preference for level of control in medical decision making varied by scenario, our patients most often preferred physicians to play the primary role in decision making. Patient preferences for general decision making correlated poorly with preferences in specific scenarios.

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