Barreras y facilitadores para la implementación de la toma de decisiones compartidas en oncología: percepciones de los pacientes

Ortega-Moreno, Mónica; Garrido, Nuria Padilla; Huelva-López, L; Correa, Francisco Aguado; Bayo-Calero, Juan; Bayo-Lozano, E.

doi:10.1016/j.cali.2017.01.002

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Outros estudos identificaram a falta de tempo como a principal barreira relatada, tanto por profissionais quanto por pacientes. (7,10) Nossos resultados coincidem com os encontrados na literatura (21) e indicam que os pacientes queriam informações mais completas sobre sua doença e, relataram que os profissionais precisavam de habilidades de comunicação e também selecionar o momento certo para fornecer informações. Eles também preferiram receber informações diretamente de um profissional e não de outras fontes.…”

Section: Discussionunclassified

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Doença inflamatória intestinal: percepções dos pacientes e dos profissionais de saúde sobre a tomada de decisão compartilhada

Bustos¹,

Díaz²

2021

Acta Paulista De Enfermagem

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Section: Discussionunclassified

“…(6) Outros estudos têm demonstrado que as decisões mais importantes suscitam uma participação mais ativa. (7,10) A participação dos pacientes em assuntos da sua doença e na TDC varia muito de acordo com o país. Por exemplo, alguns estudos europeus relataram diferenças em fatores atribuíveis tanto a profissionais quanto a pacientes.…”

Section: Introductionunclassified

Doença inflamatória intestinal: percepções dos pacientes e dos profissionais de saúde sobre a tomada de decisão compartilhada

Bustos¹,

Díaz²

2021

Acta Paulista De Enfermagem

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Shared decision making in Spain: Supportive policies and research initiatives, trends and directions for future

Perestelo-Pérez

Rivero‐Santana

Álvarez‐Pérez

et al. 2017

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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A Joanna Briggs Institute Framework Approach to Shared Decision Making in End‐of‐Life

Glaría,

Fernández,

Salgado

et al. 2024

Health Expectations

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AimTo implement shared decision‐making (SDM) through a patient decision aid (PtDA) for the initiation of palliative care (PC) in end‐of‐life (EOL) cancer patients.MethodologyA comprehensive Scoping Review was conducted on SDM in PubMed, CINAHL and PsycInfo. An evidence‐based implementation of PtDAs was created using the Joanna Briggs Institute framework, which followed rigorous pillars: (1) context, (2) facilitation and (3) evaluation.ResultsFifteen studies were identified and categorised into (1) Implementation characteristics and (2) Strategies for implementing SDM in terminally ill cancer patients. SDM should consider the decision‐making location, optimal timing, participants and decision type. Strategies include professional training, PtDAs and implementation programmes. A PtDA implementation protocol in video format for deciding to initiate PC is proposed, following International Patient Decision Aid Standards (IPDAS) and Clinical Practice Guidelines (CPG).ConclusionsSDM implementation should be guided by evidence‐based methodological models justifying and structuring its execution, especially in complex and interdisciplinary contexts. National or international frameworks facilitate the adoption of health innovations, such as PtDAs, benefiting patients and improving their usage.Practice ImplicationsSDM is not just a concept but an important approach to the Care of cancer patients at EOL, enhancing patient satisfaction and improving care quality. The success and sustainability of SDM hinge on the fundamental aspects of staff training, interdisciplinary collaboration and ongoing evaluation. The lack of specific aid in Spanish underscores the immediate need for local development. Further research is needed in this area, as most reviewed studies did not measure SDM effectiveness in diverse hospital settings.Patient or Public ContributionThis proposal was developed based on the experience and input of the nursing staff from the healthcare service where it is intended to be implemented.

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Barreras y facilitadores para la implementación de la toma de decisiones compartidas en oncología: percepciones de los pacientes

Cited by 3 publications

References 20 publications

Doença inflamatória intestinal: percepções dos pacientes e dos profissionais de saúde sobre a tomada de decisão compartilhada

Doença inflamatória intestinal: percepções dos pacientes e dos profissionais de saúde sobre a tomada de decisão compartilhada

Shared decision making in Spain: Supportive policies and research initiatives, trends and directions for future

A Joanna Briggs Institute Framework Approach to Shared Decision Making in End‐of‐Life

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