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Posted: March 31st, 2023
Shared Decision-Making Paper Assignment
The assignment will require you to write a 6 page paper formatted using APA 7th edition
(this does not include the title or references page). Be sure to review the grading rubric and
criteria for the assignment carefully and to include all aspects that are required as part of the
assignment grade. It should go without saying that NO two papers should look the same,
meaning that the choice of implementation strategies, selection of SDM , the patient and
population and specific strategies are unique in every paper AND those papers submitted with
numerous similarities will be looked at closely and closely reviewed for any evidence of
academic. Students these and all paper assignments need to be original with your own ideas and
your individual search of sources and literature to support the paper proposal. Remember the
paper must be submitted in a Word formatted APA 7th edition format failure to submit or to submit
as a PDF will be returned ungraded. Pay attention when submitting the assignment to SafeAssign
that the similarity index is not higher or close to 20% per the Syllabus guidelines.
As an APN working as part of a team, you have been asked by your director to adopt a
shared decision-making approach to be used as part of routine practice in your healthcare
organization (you may choose if this is a hospital or a clinic setting in Miami area). This involves
describing how shared decision making is implemented from an organizational, professional and
personal level to improve the care of patients. What processes are required to implement a
successful shared decision-making approach to the current practice environment? Part of this
involves determining which SDM of care would be best suited to the selected practice
environment and patient population (you are required to describe in-depth at least two different
models of SDM comparing and contrasting the two and linking the choice of which model would
be best for your practice setting; make sure the description of the practice setting and patients in
included in the paper). What is the purpose of SDM, how does it impact patient and provider
care? How does SDM help the APN to make decisions in patient care? How does the adoption of
the SDM model of care meet the standards of practice for APN/NP?
What resources and training needs would be required both by staff and patients to ensure
comprehensive integration of this type of decision making into practice (this needs to be a detailed
2
discussion about specific patient tools and approaches). Additionally, describe specific and
detailed strategies that would be implemented to build competency among the APN and provider
staff that facilitates adoption of this method. Identify key challenges that you may face in
implementing this into the care setting and key benefits to integrating a SDM into care.
• Must contain a minimum of 8-10 references not found in your course readings,
introduction, summary and be APA formatted.
CRITERION STRONG AVERAGE WEAK
Implementing Shared Decision-Making Approach in Healthcare
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Introduction:
Shared Decision-Making (SDM) is a collaborative approach that involves patients and healthcare providers working together to make informed decisions about the patient's care and treatment. As an Advanced Practice Nurse (APN) working in a healthcare organization, the adoption of SDM can significantly improve patient outcomes and satisfaction. This paper aims to outline the implementation of SDM from an organizational, professional, and personal level to enhance patient care. The focus will be on a clinic setting in the Miami area, and two different models of SDM will be thoroughly analyzed to determine the most suitable approach for the practice environment.
Organizational Implementation of Shared Decision-Making:
In the context of the healthcare organization, the successful implementation of SDM requires comprehensive planning and involvement of various stakeholders. First, the organization must develop policies and procedures that support SDM, encouraging healthcare providers to engage patients actively in decision-making. This can be achieved through workshops and training sessions that educate staff about the benefits and principles of SDM. Leadership support is critical to promote a culture of collaboration and patient-centered care.
Professional Adoption of Shared Decision-Making:
For APNs and other healthcare providers, the adoption of SDM involves acknowledging patients' autonomy and respecting their preferences. APNs must improve their communication skills to effectively present treatment options, potential outcomes, and potential risks to patients. Active listening and empathy are key traits that enable healthcare professionals to understand patients' values and preferences, aiding in the decision-making process.
Personal Level Implementation of Shared Decision-Making:
At a personal level, APNs must develop a strong patient-provider relationship, ensuring patients feel comfortable discussing their concerns and aspirations. By actively involving patients in the decision-making process, APNs can foster trust, resulting in improved adherence to treatment plans and better health outcomes.
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Selecting the Most Suitable SDM Model for the Practice Setting:
Two SDM models, "Option Grids" and "Ask Three Questions," will be compared and contrasted to identify the most appropriate approach for the clinic setting in Miami. The practice setting and patient population will be described to determine how each model aligns with the organization's needs.
Purpose and Impact of Shared Decision-Making on Patient and Provider Care:
The purpose of SDM is to enhance patient autonomy and decision-making, leading to better treatment adherence and patient satisfaction. For providers, SDM leads to a deeper understanding of patients' values and expectations, allowing for tailored treatment plans that improve patient outcomes.
Role of SDM in APN Decision-Making:
For APNs, SDM plays a pivotal role in patient care by facilitating a collaborative approach. By considering patients' preferences, beliefs, and expectations, APNs can make well-informed decisions that align with the patient's needs and values.
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Meeting APN/NP Standards of Practice with SDM:
SDM aligns with the standards of practice for APNs by emphasizing patient-centered care, ethical decision-making, and fostering a trusting patient-provider relationship. Implementing SDM supports the principles of evidence-based practice and holistic patient care.
Resources and Training for Comprehensive Integration:
To ensure successful integration, both staff and patients require training and access to specific tools. Patient decision aids, such as videos and brochures, can help patients understand treatment options better. Staff training should focus on communication, empathy, and the use of decision-making aids to guide patients through the process.
Strategies to Build Competency among APNs and Providers:
Training workshops and role-playing exercises can help build competency among APNs and providers, enhancing their communication and SDM skills. Regular feedback and mentorship support can further reinforce the adoption of SDM in routine practice.
Key Challenges and Benefits of SDM Integration:
Challenges in implementing SDM include resistance to change, time constraints, and ensuring adequate training. However, the benefits outweigh the challenges, including improved patient satisfaction, better adherence to treatment plans, and enhanced patient-provider relationships.
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Conclusion:
The implementation of a shared decision-making approach in healthcare organizations, particularly in a clinic setting in Miami, can significantly improve patient care. By promoting collaboration between patients and healthcare providers, SDM ensures that treatment plans align with patients' preferences and values, ultimately leading to better health outcomes and patient satisfaction.
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