Perceptions of physicians, medical and nursing students concerning shared decision-making: a cross-sectional study

Cantaert, Gabriël Rafaël; Hecke, Ann Van; Smolderen, Kim G.

doi:10.1080/17843286.2019.1637487

Cited by 4 publications

(5 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Importantly, it should be implemented not only in the academic context but also in the clinical setting. Given that education alone is not an ideal measure [ 3 ], this clinical involvement is essential based on patient-centered health care ( [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical decision making: validation of the nursing anxiety and self-confidence with clinical decision making scale (NASC-CDM ©) into Spanish and comparative cross-sectional study in nursing students

Medel,

Cemeli,

White

et al. 2024

BMC Nurs

View full text Add to dashboard Cite

Background Decision making is a pivotal component of nursing education worldwide. This study aimed to accomplish objectives: (1) Cross-cultural adaptation and psychometric validation of the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM©) scale from English to Spanish; (2) Comparison of nursing student groups by academic years; and (3) Analysis of the impact of work experience on decision making. Methods Cross-sectional comparative study. A convenience sample comprising 301 nursing students was included. Cultural adaptation and validation involved a rigorous process encompassing translation, back-translation, expert consultation, pilot testing, and psychometric evaluation of reliability and statistical validity. The NASC-CDM© scale consists of two subscales: self-confidence and anxiety, and 3 dimensions: D1 (Using resources to gather information and listening fully), D2 (Using information to see the big picture), and D3 (Knowing and acting). To assess variations in self-confidence and anxiety among students, the study employed the following tests: Analysis of Variance tests, homogeneity of variance, and Levene’s correction with Tukey’s post hoc analysis. Results Validation showed high internal consistency reliability for both scales: Cronbach’s α = 0.920 and Guttman’s λ2 = 0.923 (M = 111.32, SD = 17.07) for self-confidence, and α = 0.940 and λ2 = 0.942 (M = 80.44, SD = 21.67) for anxiety; and comparative fit index (CFI) of: 0.981 for self-confidence and 0.997 for anxiety. The results revealed a significant and gradual increase in students’ self-confidence (p =.049) as they progressed through the courses, particularly in D2 and D3. Conversely, anxiety was high in the 1st year (M = 81.71, SD = 18.90) and increased in the 3rd year (M = 86.32, SD = 26.38), and significantly decreased only in D3. Work experience positively influenced self-confidence in D2 and D3 but had no effect on anxiety. Conclusion The Spanish version (NASC-CDM-S©) was confirmed as a valid, sensitive, and reliable instrument, maintaining structural equivalence with the original English version. While the students’ self-confidence increased throughout their training, their levels of anxiety varied. Nevertheless, these findings underscored shortcomings in assessing and identifying patient problems.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical decision making: validation of the nursing anxiety and self-confidence with clinical decision making scale (NASC-CDM ©) into Spanish and comparative cross-sectional study in nursing students

Medel,

Cemeli,

White

et al. 2024

BMC Nurs

View full text Add to dashboard Cite

show abstract

“…The physician, compared to other eHCWs, retains the central role of decision-maker, which can partially explain the obtaining of a higher score vs. other eHCWs. Furthermore, nurses share the belief that the physician should decide and the patient should rely on his knowledge rather than his own ( 42 ). Finally, some studies found a direct link between physician burnout (in which job strain is one of the main risk factors) and adverse patient outcomes ( 43 ).…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study to assess job strain of emergency healthcare workers by Karasek questionnaire: The SEEK study

Bouillon‐Minois

Trousselard²,

Mulliez

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundEmergency healthcare workers (eHCWs) are particularly at risk of stress, but data using the gold standard questionnaire of Karasek are scarce. We assessed the level of stress of eHCWs and aimed to compare it with the general population.MethodsThis is a cross-sectional nationwide study in French Emergency Departments (EDs), using the job-content questionnaire of Karasek, compared with the 25,000 answers in the French general population (controls from the SUMER study). The descriptions of job demand, job control, and social support were described as well as the prevalence of job strain and isostrain. Putative factors were searched using mixed-method analysis.ResultsA total of 166 eHCWs (37.9 ± 10.5 years old, 42% men) from five French EDs were included: 53 emergency physicians and 104 emergency paramedics, compared to 25,000 workers with other occupations. Job demand was highest for physicians (28.3 ± 3.3) and paramedics (25.9 ± 3.8), compared to controls (36.0 ± 7.2; p < 0.001). Job control was the lowest for physicians (61.2 ± 5.8) and paramedics (59.1 ± 6.8), compared to controls (70.4 ± 11.7; p < 0.001). Mean social support did not differ between groups (23.6 ± 3.4 for physicians, 22.6 ± 2.9 for paramedics, and 23.7 ± 3.6 for controls). The prevalence of job strain was massively higher for physicians (95.8%) and paramedics (84.8%), compared to controls (23.9%; p < 0.001), as well as for isostrain (45.1% for physicians, 56.8% for paramedics, and 14.3% for controls, p < 0.001). We did not find any significant impact of sociodemographic characteristics on job control, job demand, or social support.ConclusionEmergency healthcare workers have a dramatic rate of job strain, necessitating urgent promotion of policy to take care of them.

show abstract

“…Shared decision making can be considered as one of the key features of patient-centred healthcare provision (Cantaert et al, 2021). Nurses, as part of the interprofessional team, should collaborate and communicate with the patient and/or family to obtain the best quality of care.…”

Section: Discussionmentioning

confidence: 99%

“…This paternalistic approach was also noticeable among participants given nurses were not familiar with the term SDM, did not know the model of SDM and the different steps to be followed, which may lead to suboptimal performance on crucial parts of it (Savelberg et al, 2019). It is recommended to include SDM-competencies and SDM-models into academic curricula and training programs for healthcare providers (Cantaert et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…However, to facilitate implementation and to ensure that nurses can apply SDM-principles in different domains of pharmaceutical care, it is important to create an enabling environment. A positive and supporting hospital culture regarding nurses as partner in SDM is needed (Cantaert et al, 2021, Bosvan den Hoek et al, 2021. Nurses should be trained in coaching patients in decision-making (Stacey et al, 2006, Lenzen et al, 2018.…”

Section: Implications For Clinical Practicementioning

confidence: 99%

See 1 more Smart Citation

Shared decision making on medication use between nurses and patients in an oncology setting: A qualitative descriptive study

Mortelmans¹,

Bosselaers²,

Goossens³

et al. 2023

European Journal of Oncology Nursing

View full text Add to dashboard Cite

Perceptions of physicians, medical and nursing students concerning shared decision-making: a cross-sectional study

Cited by 4 publications

References 38 publications

Clinical decision making: validation of the nursing anxiety and self-confidence with clinical decision making scale (NASC-CDM ©) into Spanish and comparative cross-sectional study in nursing students

Clinical decision making: validation of the nursing anxiety and self-confidence with clinical decision making scale (NASC-CDM ©) into Spanish and comparative cross-sectional study in nursing students

A cross-sectional study to assess job strain of emergency healthcare workers by Karasek questionnaire: The SEEK study

Shared decision making on medication use between nurses and patients in an oncology setting: A qualitative descriptive study

Contact Info

Product

Resources

About