ASSIGNMENT HELP | Changing the World Through Evidence-Based Practice

Learning Resources

Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
• Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)

Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396
.
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
.
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x

Discussion: Discussion: Patient Preferences and Decision Making

| PLACE YOUR ORDER NOW AT writtask.com |

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.
What has your experience been with patient involvement in treatment or healthcare decisions?
In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

| PLACE YOUR ORDER NOW AT writtask.com |
To Prepare:
• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
o Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
• NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

| PLACE YOUR ORDER NOW AT writtask.com |

Rubric
Rubric

• Grid View
• List View
Excellent Good Fair Poor
Main Posting 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

MODEL ANSWER

Together with clinical guidelines, patient preferences are essential in providing direction for choosing treatment options and customizing | PLACE YOUR ORDER NOW AT writtask.com | to a patient suffering from knee osteoarthritis, I used a patient decision aid appropriate for the condition. The use of decision aids in healthcare as they promote quality care by healthcare professionals. Decision tools are complementary to counseling provided by a healthcare professional and they provide information about various treatment options and their benefits, harms, and scientific | PLACE YOUR ORDER NOW AT writtask.com | plan should be based on evidence but also on the understanding of a patient’s history, family, cultural contexts, values, and preferences.

In attending to the above-mentioned patient, I used the decision tool on | PLACE YOUR ORDER NOW AT writtask.com | t and his family have a look at the four-step treatment plan and make a decision on which was preferable | PLACE YOUR ORDER NOW AT writtask.com | about the benefits and harms of the treatment option provided. Then the patient was to choose among the treatment options which he | PLACE YOUR ORDER NOW AT writtask.com | preferred the Chondroitin treatment plan as it is a long-term plan that would assure him of good health (The Ottawa Hospital Research Institute, n.d). 

Including patient preferences and values improves the trajectory | PLACE YOUR ORDER NOW AT writtask.com | preferences aid in establishing diagnostic tools and wellness | PLACE YOUR ORDER NOW AT writtask.com | team can use the information on the preferences and values to plan the appropriate treatment procedures. In addition, this gives the patient the motivation to adopt the recommended treatment plan without any form of | PLACE YOUR ORDER NOW AT writtask.com | treatment plans are made possible using patient preferences and values and this is important in attaining favorable nursing outcomes.

The Cochrane Musculoskeletal decision aid is important in this context as it offers various treatment options from which a patient can choose one based on his/her preferences and values and with help from the health | PLACE YOUR ORDER NOW AT writtask.com |

References

Creutzfeldt, C. J., & Holloway, R. G. (2020). Treatment Decisions for a Future Self: Ethical Obligations to Guide Truly Informed Choices. JAMA.

Mangin, D., Stephen, G., Bismah, V., & Risdon, C. (2016). Making patient values visible in healthcare: A systematic review of tools to assess patient treatment priorities and preferences in the context of multimorbidity. BMJ Open, 6(6), e010903.

Ringdal, M., Chaboyer, W., Ulin, K., Bucknall, T., & Oxelmark, L. (2017). Patient preferences for participation in patient care and safety activities in hospitals. BMC nursing, 16(1), 1-8.

The Ottawa Hospital Research Institute. (n.d). Patient decision aids. Retrieved from A to Z Summary Results – Patient Decision Aids – Ottawa Hospital Research Institute (ohri.ca)