Shared Decision Making in Home Hospice Nursing Visits: A Qualitative Study. J Pain Symptom Manage 2018 Mar;55(3):922-929
Date
11/13/2017Pubmed ID
29128433Pubmed Central ID
PMC6335643DOI
10.1016/j.jpainsymman.2017.10.022Scopus ID
2-s2.0-85042424970 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
CONTEXT: Shared decisions between health care providers and patients and families are replacing the traditional physician-driven plans of care. Hospice philosophy recognizes the patient and family as a unit of care and embraces their role in decision making.
OBJECTIVE: The goal of this study was to evaluate the shared decisions between hospice nurses and patients and family members.
METHODS: A secondary analysis of audio recordings of 65 home hospice nurse visits from 65 home hospice nurse visits in 11 different U.S. hospice programs.
RESULTS: To varying degrees, hospice nurses used all the recommended elements of shared decision making during home visits with patients and families; however, not all elements were used in every visit. The most commonly used element was defining a problem, and the least used element was the assessment of patient and family understanding.
CONCLUSIONS: Hospice staff can benefit from a more purposeful shared decision-making process and a greater focus on assessment of patient and family understanding and ability to implement plans of care.
Author List
Oliver DP, Washington K, Demiris G, Wallace A, Propst MR, Uraizee AM, Craig K, Clayton MF, Reblin M, Ellington LAuthor
Aisha Maria Uraizee MD Adjunct Instructor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Caregivers
Decision Making
Family
Female
Health Communication
Home Care Services
Hospice and Palliative Care Nursing
House Calls
Humans
Male
Middle Aged
Nurse-Patient Relations
Nurses
Qualitative Research
