Interprofessional education for shared decision making in drug therapy: a scoping review

Detoni, Kirla Barbosa; André, Ariane Lopes; Rezende, Cristiane de Paula; Furtado, Bárbara Taciana; Mendonça, Simone de Araújo Medina; Oliveira, Djenane Ramalho de

doi:10.1080/13561820.2022.2039598

Cited by 11 publications

(7 citation statements)

References 51 publications

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“…Clinicians should consider the SDM process across disciplines to permit the exchange of information, deliberation, and the joint decision making regarding essential treatments [ 44 ]. Interprofessional SDM is when healthcare providers work together to engage patients in decision making and to improve the quality of decision making by facilitating the integration of healthcare services [ 45 ]. Therefore, clinicians must communicate and interact with their patients and team members well during the SDM process.…”

Section: Methodsmentioning

confidence: 99%

Establishing the Competency Development and Talent Cultivation Strategies for Physician-Patient Shared Decision-Making Competency Based on the IAA-NRM Approach

Hsu

Wang

et al. 2022

Healthcare

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Shared decision making (SDM) is a collaborative process involving patients and their healthcare workers negotiating to reach a shared decision about medical care. However, various physician stakeholders (attending physicians, medical residents, and doctors in post-graduate years) may have different viewpoints on SDM processes. The purpose of this study is to explore the core competence of physicians in performing SDM tasks and to investigate the significant competency development aspects/criteria by applying the literature research and expert interviews. We adopt the IAA (importance awareness analysis) technique for different stakeholders to evaluate the status of competency development aspects/criteria and to determine the NRM (network relation map) based on the DEMATEL (decision-making trial and evaluation laboratory) technique. The study combines the IAA and NRM methods and suggests using the IAA-NRM approach to evaluate the adoption strategies and common suitable paths for different levels of physicians. Our findings reveal that SDM perception and practice is the primary influencer of SDM competence development for all stakeholders. The current model can help hospital administrators and directors of medical education understand the diverse stakeholders’ perspectives on the core competence of SDM tasks and determine common development plans. It provides strategic directions for SDM competency development and talent cultivation programs.

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Section: Methodsmentioning

confidence: 99%

Establishing the Competency Development and Talent Cultivation Strategies for Physician-Patient Shared Decision-Making Competency Based on the IAA-NRM Approach

Hsu

Wang

et al. 2022

Healthcare

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“…A search strategy was prepared using the acronym PCC, where: "P" refers to population; "C" to concept; and "C" to context 18 , with the aim of identifying primary studies that describe and evaluate IPE experiences involving pharmacotherapy decision-making. The results obtained in this review originated two studies; the first, already published, focuses on the teaching and learning approaches used in this context 16 . In this second study, the articles were analyzed to answer the following question: what are the research methods and instruments used to evaluate these experiences in IPE for decision making in drug therapy, from the student's perspective?…”

Section: Systematic Search and Formulation Of The Research Questionmentioning

confidence: 99%

“…Based on the above, a scoping review was conducted by our research team to identify studies that describe and evaluate IPE experiences involving aspects of decision making in drug therapy 16 . The present study is a result of this review and has as specific objectives to describe the research methods and instruments employed in the evaluation of such educational experiences from the students' perspective, as well as to analyze quantitative instruments assessing "students' attitudes and perceptions toward interprofessional education and practice" regarding collaborative key competencies 13 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of interprofessional education for shared decision making in drug therapy: a scoping review on methods and instruments

André

Detoni²,

Rezende³

et al. 2023

Interface (Botucatu)

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This study aimed to describe the research methods and instruments used in the evaluation of interprofessional education strategies for shared decision making in drug therapy. The types of evaluation employed were categorized according to Kirkpatrick’s adapted model. A scoping review was conducted, following the PRISMA-ScR recommendations. Among the 21 selected studies, there was a predominance of quantitative methods in the evaluation of educational experiences (n=18). Of these, the most common aspect evaluated was “students’ attitudes and perceptions towards interprofessional education and practice” by means of validated instruments (n=13). Ten different instruments were identified and found to be in line with the Interprofessional Education Collaborative competencies. The variety of instruments signals the growing production of knowledge about this topic, but points to the challenge of conducting comparative analyses between educational experiences around the world.

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“…Interprofessional education is an important strategy in team formation and creates a culture of respect and accountability. 148…”

Section: Future Directions For Sdmmentioning

confidence: 99%

Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association

Himmelfarb¹,

Beckie²,

Allen³

et al. 2023

Circulation

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Shared decision-making is increasingly embraced in health care and recommended in cardiovascular guidelines. Patient involvement in health care decisions, patient-clinician communication, and models of patient-centered care are critical to improve health outcomes and to promote equity, but formal models and evaluation in cardiovascular care are nascent. Shared decision-making promotes equity by involving clinicians and patients, sharing the best available evidence, and recognizing the needs, values, and experiences of individuals and their families when faced with the task of making decisions. Broad endorsement of shared decision-making as a critical component of high-quality, value-based care has raised our awareness, although uptake in clinical practice remains suboptimal for a range of patient, clinician, and system issues. Strategies effective in promoting shared decision-making include educating clinicians on communication techniques, engaging multidisciplinary medical teams, incorporating trained decision coaches, and using tools (ie, patient decision aids) at appropriate literacy and numeracy levels to support patients in their cardiovascular decisions. This scientific statement shines a light on the limited but growing body of evidence of the impact of shared decision-making on cardiovascular outcomes and the potential of shared decision-making as a driver of health equity so that everyone has just opportunities. Multilevel solutions must align to address challenges in policies and reimbursement, system-level leadership and infrastructure, clinician training, access to decision aids, and patient engagement to fully support patients and clinicians to engage in the shared decision-making process and to drive equity and improvement in cardiovascular outcomes.

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Interprofessional education for shared decision making in drug therapy: a scoping review

Cited by 11 publications

References 51 publications

Establishing the Competency Development and Talent Cultivation Strategies for Physician-Patient Shared Decision-Making Competency Based on the IAA-NRM Approach

Establishing the Competency Development and Talent Cultivation Strategies for Physician-Patient Shared Decision-Making Competency Based on the IAA-NRM Approach

Evaluation of interprofessional education for shared decision making in drug therapy: a scoping review on methods and instruments

Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association

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