2021
DOI: 10.1371/journal.pone.0257902
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The effectiveness of simulation education program on shared decision-making attitudes among nurses in Taiwan

Abstract: Background Shared decision-making (SDM) is significantly associated with promoting the quality of end-of-life (EOL). The attitude of nurses toward the end of life can affect EOL care, but there are few SDM-related clinical learning programs focused on EOL. In this study, therefore, we evaluated the effectiveness of an EOL-simulation education program on attitudes toward SDM among nurses, using an objective structured clinical examination (OSCE). Methods We used a quasi-experimental study design to evaluate n… Show more

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Cited by 3 publications
(3 citation statements)
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“…To this end, because our participants were active health professionals, they had helpful insights to understand the potential sources of conflict that may arise when implementing SDM interventions in a clinical context. The randomization method we used (sort alphabetically by last name) did not ensure having symmetrical groups and it would have been useful to have assessed the baseline knowledge on gynecology and obstetrics of our participants to ensure the comparability of the three groups [ 46 , 47 ]. However, participants were invited to self-report to what extent their knowledge or experiences influenced their decision-making, and provided reflections about similar examples in their clinical practice where they deal with preference sensitive decisions.…”
Section: Discussionmentioning
confidence: 99%
“…To this end, because our participants were active health professionals, they had helpful insights to understand the potential sources of conflict that may arise when implementing SDM interventions in a clinical context. The randomization method we used (sort alphabetically by last name) did not ensure having symmetrical groups and it would have been useful to have assessed the baseline knowledge on gynecology and obstetrics of our participants to ensure the comparability of the three groups [ 46 , 47 ]. However, participants were invited to self-report to what extent their knowledge or experiences influenced their decision-making, and provided reflections about similar examples in their clinical practice where they deal with preference sensitive decisions.…”
Section: Discussionmentioning
confidence: 99%
“…SDM is seen as a new concept for health professionals, patients, and medical society as a whole in Taiwan. Prior studies on SDM have been broadly divided into key components/process steps, barriers and facilitators, SDM scales, content of curriculum training, and patient decision aid application [ 4 , 6 , 8 , 24 , 25 ]. There is little evidence of the priorities of physicians’ core competencies required to perform successful SDM.…”
Section: Introductionmentioning
confidence: 99%
“…SDM is a new trend for Taiwan’s medical society and public. Even though a few studies about concerns during SDM and training programs for healthcare providers have been conducted [ 31 , 32 ], there is currently a limited literature discussing the core competence of SDM tasks among clinicians in Taiwan. Therefore, this study intends to explore the priority and causal relationship of physician competency in implementing SDM tasks by using an online questionnaire.…”
Section: Introductionmentioning
confidence: 99%