PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Sample Answer for PATIENT PREFERENCES AND DECISION MAKING NURS 6052 Included After Question
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 decisions?
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.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
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 https://decisionaid.ohri.ca/Links to an external site..
Choose “For Specific Conditions,” then Browsean alphabetical listing of decision aids by health topic.
After you have chosen a topic (or condition) and a decision aid, consider if social determinants of healthLinks to an external site.were considered in the treatment plan Social determinants of health can affect a patient’s decision as these are conditions in the patient’s environment, such as economic stability, education access, health care access and quality, neighborhood, and social and community context.
NOTE:To 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.
BY DAY 3 OF WEEK 11
Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
(Please Note: The underlined “social determinants of health” in the above content is meant to hotlink to the following Walden webpage and content:
Social Determinants of Health – Social Determinants of Health – Academic Guides at Walden Links to an external site.University)
Respond to at least two of your colleagues on two different days and offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared.
A Sample Answer For the Assignment: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Title: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Patient involvement is an important aspect in nursing practice. One of my experiences where I incorporated patient values and preferences into the treatment process was when dealing with African American patient admitted to the medical ward. The patient had been diagnosed with diabetes. According to the patient, spirituality was an important component of the care that he needed. He wanted to be visited by his pastor as a way of ensuring that he recovered fully from his condition. As a nurse working with him, I granted his request to have his pastor allowed to visit the patient. The incorporation of spirituality in the care process was important since the patient developed more trust towards the treatment interventions that were used. The patient was also empowered to explore additional healthy interventions that could be utilized to improve his health and wellbeing (Scheunemann et al., 2019). According to him, living a healthy lifestyle was important because it aligned with his expected behaviors as a Christian. A decision aid was also incorporated into the treatment plan for the patient. A brochure was given that provided the patient with information on the diets and exercises that were essential for the management of his condition.
The incorporation of patient values and preferences may affect the trajectory of the situation in a number of ways. Firstly, it promotes patient satisfaction with care. The patient is satisfied with the provision of care that respect his or her diverse needs and values as seen in the above scenario. The incorporation also promotes patient empowerment. The patient is empowered to be an active seeker of innovative ways of promoting health. Patients also demonstrate their empowerment by adhering to the prescribed treatment plans or interventions (Bastemeijer et al., 2017). This effect can be seen in the above scenario where the patient was empowered to take responsibility of his health by embracing lifestyle and behavioral interventions that promote health. The use of the decision aid in the above experience was important in improving the knowledge of the patient about the management of diabetes (Milner & O’Connor, 2017). The decision aid also provided the patient with information on the additional sources of information such as websites and journals for diabetes management. Therefore, I will use the decision aid in my professional practice to strengthen the health behavioral messages and effectiveness of health educational interventions in nursing practice.
References
Bastemeijer, C. M., Voogt, L., van Ewijk, J. P., & Hazelzet, J. A. (2017). What do patient values and preferences mean? A taxonomy based on a systematic review of qualitative papers. Patient Education and Counseling, 100(5), 871–881. https://doi.org/10.1016/j.pec.2016.12.019
Milner, K., & O’Connor, M. (2017). Shared decision making and decision aids: An important part of evidence-based practice. Journal of Nursing Education, 56(11), 702–703. https://doi.org/10.3928/01484834-20171020-14
Scheunemann, L. P., Ernecoff, N. C., Buddadhumaruk, P., Carson, S. S., Hough, C. L., Curtis, J. R., Anderson, W. G., Steingrub, J., Lo, B., Matthay, M., Arnold, R. M., & White, D. B. (2019). Clinician-family communication about patients’ values and preferences in intensive care units. JAMA Internal Medicine, 179(5), 676–684. https://doi.org/10.1001/jamainternmed.2019.0027
A Sample Answer 2 For the Assignment: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Title: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
The patient decision aid is a way of assisting individuals in coming up with informed selections concerning healthcare that put into consideration their individual preferences plus values. Decision aids are a portion of a collective decision-making procedure, inspiring vibrant engagement by ailing individuals in healthcare verdicts (Opperman et al., 2016). The patient decision aids are intended to complement, unlike swapping counseling from a healthcare specialist. This discussion addresses my personal experience with ailing individuals’ healthcare verdicts and treatment.
The ailing individual ought to be encompassed in the treatment strategy, with reference to my personal experience as a healthcare specialist (Hoffman, Montori & Del Ma, 2014). As the ailing individual and his household ought to agree to the medication. You might then encompass them in the medication strategy minus any challenges.
When I encompass the ailing individual or their household in the medication strategy in my medical performance, I have comprehended that the ailing individual or their household turns out to be quite compliant throughout the therapy. This channels to the desired result. The deficiency of ailing individual participation in the medication strategy can have a number of undesired outcomes, varying from approval to treatment result (Schroy, Mylvaganam & Davidson, 2014). In nowadays world, ailing individuals arrive at health facilities with predetermined mentalities gleaned from the online sphere or a number of other information sources. In their points of view, they have a slew of questions relating to the therapy technique. Therefore, it is desirable to disperse fears and encompass them in the medication strategy.
In conclusion, patient decision aids are proficient in turning out to be reinforcement tools to enhance collective decision making. More application studies are needed to changeover ailing individual decision-
PATIENT PREFERENCES AND DECISION MAKING NURS 6052
making into scientific practice allowing proof and ailing individuals’ choices to be part of their treatment.
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References
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision-making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid facilitate shared decision-making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011. 00730.x
A Sample Answer 3 For the Assignment: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Title: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Pearl, I confess that my mom is one of these patients. She googles everything and thinks she knows exactly what’s wrong with her. it sometimes takes quite a bit of discussion to make her realize that everything on the internet is not always the best or most accurate information. She is definitely “involved” in her care. Involvement of the provider is another measure of shared decision making and is often overlooked.
Couët et al., (2015) found 33 studies measuring patient involvement. Several patient involving behaviors were observed in the studies, but the majority were seen in longer contacts with patient. Behaviors that did not change or improve were those that required tailoring of care to meet the desires of the patient. Couët et al., (2015) theorized that patient centered decision making behaviors were hard to implement. I agree with these authors, that more information is definitely needed. Dr. South
Couët, N., Desroches, S., Robitaille, H., Vaillancourt, H., Leblanc, A., Turcotte, S., … & Légaré, F. (2015). Assessments of the extent to which health‐care providers involve patients in decision making: a systematic review of studies using the OPTION instrument. Health Expectations, 18(4), 542-561. doi: 10.1111/hex.12054.
Indeed the patient decision aid is a way of assisting individuals in coming up with informed decisions regarding health care that put into consideration their individual preferences as well as values. According to Hoffman, Montori and Del Ma (2014), the patient should be included in the development of the treatment plan to enhance compliance to treatment or medication. Another significant impact of a treatment plan developed by the both the nurse and the patient, relates to the level of treatment efficiency in managing a patient’s condition. Lastly, the initiative of discussing and developing a care plan with a patient is very important because it makes the patient to have a say in what he or she feels is the best. This plays a great role in promoting patient satisfaction as well as enhancing health outcomes.
References
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision-making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
A Sample Answer 4 For the Assignment: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Title: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
The patient decision involves the process of helping a patient with information about selecting the appropriate medication (Vahdat et al., 2014). In this case, decisions count as a portion of the collective decision-making procedure, which is an inspiring process for any ailing patient. I agree with you, that patient decisions focus on complementing the personal experience.
It is essential to ensure that a patient is included in the treatment strategy. Additionally, it is also important to consider the family’s opinion about the patient preference which leads to eliminating any chance of challenges from occurring. I support your idea that it is important to ensure that one comprehends with the patients which is an effective way to channel the desired outcomes. Considering the patient preference is an effective way of encompassing them with the medication strategy and helps in dispersing fears (Tariq et al., 2018). Therefore, engaging the patient in the decision-making process act as an effective way in which the patient decision is considered proficient and accounts as a reinforcement tool for collective decision making.
References
Tariq, R. A., Vashisht, R., Sinha, A., & Scherbak, Y. (2018). Medication dispensing errors and prevention. https://europepmc.org/books/nbk519065
Vahdat, S., Hamzehgardeshi, L., Hessam, S., & Hamzehgardeshi, Z. (2014). Patient involvement in health care decision making: a review. Iranian Red Crescent Medical Journal, 16(1). https://www.ncbi.nlm.nih.gov/pmc/articles/pmc3964421/
A Sample Answer 5 For the Assignment: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Title: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
I thoroughly enjoyed your post. You touch on a subject that is extremely important in any patient’s treatment plan, compliance. I believe you are correct that patients are more likely to adhere to the treatment plan if they are involved in the formulation of it. It comes down to the basic concept that we make better decisions when we have all the right information.
Patient decision aids provide the necessary information needed to make sound decisions regarding treatment choices (Trenaman et al., 2016). This knowledge empowers patients and their families to communicate with their providers and adhere to the treatment plan. As I had shared, in my experience, I have dealt with cases where perhaps too much information was given. However, by standardizing the patient decision aid throughout our practice, we can re-establish the significance of the clinician in the process.
As a recent study depicted regarding patient decision aids in smoking cessation, the successful implementation of an aid can yield positive results. During this study, it was discovered that by implementing a multidisciplinary patient decision aid that incorporated family, patients were 44 % more likely to achieve smoking abstinence (McDonnell et al., 2016).
Therefore, it can be concluded that patients and families have the right to know and can be instrumental in the success of treatment plans. We all make better choices when we know all the right information. It is imperative that this is given through a standardized tool such as patient decision aids to achieve an improvement in our healthcare.
References
McDonnell, K. K., Bullock, L. F., Kozower, B. D., Hollen, P. J., Heath, J., & Rovnyak, V. (2016). A Decision Aid to Improve Smoking Abstinence for Families Facing Cancer. Oncology Nursing Forum, 41(6), 649–658. https://doi.org/10.1188/14.ONF.649-658
Trenaman, L., Selva, A., Desroches, S., Singh, K., Bissonnette, J., Bansback, N., & Stacey, D. (2016). A measurement framework for adherence in patient decision aid trials applied in a systematic review subanalysis. Journal of Clinical Epidemiology, 77, 15–23. https://doi.org/10.1016/j.jclinepi.2016.03.032
A Sample Answer 6 For the Assignment: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Title: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Three months ago, I had an experience with a 30-year-old female patient who reported in the inpatient cancer treatment facility where I was working as a charge nurse. The patient had breast cancer that had become too severe, leading to chronic pain. After the diagnosis, the patient was incorporated into developing the treatment plan. She was presented with two treatment options for her condition, including mastectomy and breast-conserving surgery as provided in the Decision Aid tool for breast cancer (Ottawa Hospital Research Institute, 2019). According to the patient’s preferences, she opted for removing the breast, which the attending doctor had to respect.
However, during the initiation of the treatment plan, the patient preferred that she be assigned a female caregiver due to her Islamic culture, which the medical team gladly accommodated in the plan. This is because respecting her care preference means that she would comply with the treatment plan. Hence, the patient always remained receptive to the treatment she underwent, ensuring that her anxiety about the type she would receive was eliminated because her preferences were well taken care of throughout the treatment (Mathioudakis et a., 2019). As a result, the treatment was carried out smoothly.
In terms of Decision Aid (DA) selection, it is essential to consider other aspects, such as post-surgical treatments and care as the patient wishes, keeping in her preference to have a female caregiver. Therefore, the application of Evidence-based medicine (EBM) and shared decision making (SDM) would be an appropriate Decision Aid for the patient. The importance of using the DA is that it ensures that the treatment begins and ends with the patient while also focusing on other aspects, such as modesty and self-awareness of the care procedures (Simons et al., 2019).
Applying the DA inventory would be appropriate for my professional practice since it offers a wealth of information on all aspects of clinical care to promote the development of more informed interventions to help address patient conditions. Evidence-based medicine would be a critical tool for my practices because it integrates all the care need that a patient may require. This, in turn, can facilitate proper decision-making on what can work best for the patient.
References
Mathioudakis, A. G., Salakari, M., Pylkkanen, L., Saz‐Parkinson, Z., Bramesfeld, A., Deandrea, S., … & Alonso‐Coello, P. (2019). Systematic review on women’s values and preferences concerning breast cancer screening and diagnostic services. Psycho‐Oncology, 28(5), 939-947.
Simons, M. R., Zurynski, Y., Cullis, J., Morgan, M. K., & Davidson, A. S. (2019). Does evidence-based medicine training improve doctors’ knowledge, practice and patient outcomes? A systematic review of the evidence. Medical teacher, 41(5), 532-538.
The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/
A Sample Answer 7 For the Assignment: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
Title: PATIENT PREFERENCES AND DECISION MAKING NURS 6052
A profound situation that sticks out to me was when I was a surgical nurse. We had an oncology patient come in for tumor excision. Prior to the surgery I ran her urine POCT, and she was pregnant. She refused the surgery, understandably. The doctors discussed with her that chemo and radiation were her best option, however ultrasound had showed the baby was just into the second trimester. This was an impossible situation for me to imagine and still is. The mom decided to decline all treatments until after the baby was born. Just under a year later she was back, with the baby! We did the treatments as we originally planned, but the cancer had progressed and she did end up leaving on Hospice with CMO orders. Even so, she was absolutely at peace with this decision and thrilled that she had a healthy baby.
It is always important to consider patient preferences. The patient retains the right to choose. It is important that the patient can provide sound informed consent and agree to proceed with the procedure (Olejarczyk, 2022). The best way to approach situations like these is with shared decision making. Shared decision making includes establishing a trusting relationship with the patient; providing emotional support; assessing patients’ understanding of the situation; explaining the patient’s condition and prognosis; highlighting that there are options to choose from; explaining principles of surrogate decision-making; explaining treatment options; eliciting patient’s values, goals, and preferences; deliberating together; and making a decision (Kon et al., 2016).
There are decision aids for cancer. There are decision aids for each type of cancer. There are decision aids for pregnancy. Decision aids are a useful tool that help to easily organize the treatment options (McAlpine at al., 2018). It may be helpful to utilize decision aids in my future practice when patients need them. Ultimately, however this woman made her choice from love for her child, which no aid can help navigate.
References
Kon, A. A., Davidson, Judy, Morrison, W., M.D., Danis, M., M.D., & White, Douglas B,M.D., M.A.S. (2016). Shared decision-making in intensive care units: Executive summary of the american college of critical care medicine and american thoracic society policy statement. American Journal of Respiratory and Critical Care Medicine, 193(12), 1334-1336. Retrieved from https://www.proquest.com/scholarly-journals/shared-decision-making-intensive-care-units/docview/1797885427/se-2
McAlpine, K., Lewis, K. B., Trevena, L. J., & Stacey, D. (2018). What Is the Effectiveness of Patient Decision Aids for Cancer-Related Decisions? A Systematic Review Subanalysis. JCO clinical cancer informatics, 2, 1–13. https://doi.org/10.1200/CCI.17.00148
Olejarczyk, Jacob. (2022). Patient Rights And Ethics. https://www.ncbi.nlm.nih.gov/books/NBK538279/
Grading Rubric
Performance Category 100% or highest level of performance
Demonstrates achievement of scholarly inquiry for professional and academic topics.
Presentation of information was exceptional and included all of the following elements:
Provides evidence of scholarly inquiry relevant to required TD topic(s).
Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was good, but was superficial in places and included all of the following elements:
Provides evidence of scholarly inquiry relevant to required TD topic(s).
Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was minimally demonstrated in all of the following elements:
Provides evidence of scholarly inquiry relevant to required TD topic(s).
Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in one of the following elements:
Provides evidence of scholarly inquiry relevant to required TD topic(s).
Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in two of the following elements:
Provides evidence of scholarly inquiry relevant to required TD topic(s).
Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in three or more of the following elements
Provides evidence of scholarly inquiry relevant to required TD topic(s).
Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations
Presentation of information was exceptional and included all of the following elements:
Applies principles, knowledge and information from scholarly resources to the required topic.
Applies facts, principles or concepts learned from scholarly resources to a professional experience.
Application of information is comprehensive and specific to the required topic.
Presentation of information was good, but was superficial in places and included all of the following elements:
Applies principles, knowledge and information from scholarly resources to the required topic.
Applies facts, principles or concepts learned from scholarly resources to a professional experience.
Application of information is comprehensive and specific to the required topic.
Presentation of information was minimally demonstrated in the all of the following elements:
Applies principles, knowledge and information from scholarly resources to the required topic.
Applies facts, principles or concepts learned from scholarly resources to a professional experience.
Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in one of the following elements:
Applies principles, knowledge and information from scholarly resources to the required topic.
Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in two of the following elements:
Applies principles, knowledge and information from scholarly resources to the required topic.
Applies facts, principles or concepts learned from scholarly resources to a professional experience.
Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in three of the following elements
Applies principles, knowledge and information and scholarly resources to the required topic.
Applies facts, principles or concepts learned scholarly resources to a professional experience.
Application of information is comprehensive and specific to the required topic.
Initial post should be a minimum of 300 words (references do not count toward word count)
The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)
Responses are substantive and relate to the topic.
Demonstrated all of the following:
Initial post must be a minimum of 300 words.
The peer and instructor responses must be a minimum of 150 words each.
Responses are substantive
Responses are related to the topic of discussion.
Demonstrated 3 of the following:
Initial post must be a minimum of 300 words.
The peer and instructor responses must be a minimum of 150 words each.
Responses are substantive
Responses are related to the topic of discussion.
Demonstrated 2 of the following:
Initial post must be a minimum of 300 words.
The peer and instructor responses must be a minimum of 150 words each.
Responses are substantive
Responses are related to the topic of discussion.
Demonstrated 1 or less of the following:
Initial post must be a minimum of 300 words.
The peer and instructor responses must be a minimum of 150 words each.
Responses are substantive
Responses are related to the topic of discussion.
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