Last Updated on 03/07/2023 by Admin
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
Discussion: Patient Preferences and Decision Making
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.
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/.
- 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.
DISCUSSION QUESTION:
Resources to be used:
1.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)
2. 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. Retrieved from https://jamanetwork.com/
4. 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.
GRADING RUBRIC
Main Posting–
Excellent 45 (45%) – 50 (50%) Good 40 (40%) – 44 (44%) Fair 35 (35%) – 39 (39%) Poor 0 (0%) – 34 (34%)
Main Post: Timeliness–
Excellent 10 (10%) – 10 (10%) Good 0 (0%) – 0 (0%) Fair 0 (0%) – 0 (0%) Poor 0 (0%) – 0 (0%)
First Response–
Excellent 17 (17%) – 18 (18%) Good 15 (15%) – 16 (16%) Fair 13 (13%) – 14 (14%) Poor 0 (0%) – 12 (12%)
Second Response–
Excellent 16 (16%) – 17 (17%) Good 14 (14%) – 15 (15%) Fair 12 (12%) – 13 (13%) Poor 0 (0%) – 11 (11%)
Participation–
Excellent 5 (5%) – 5 (5%) Good 0 (0%) – 0 (0%) Fair 0 (0%) – 0 (0%) Poor 0 (0%) – 0 (0%) Total Points: 100
EXPERT ANSWER AND EXPLANATION
Significance of Incorporating Patient Preferences
In my care setting, a patient came to the hospital complaining of dizziness. She was diagnosed with HBP. The nurse in charge of the patient included her in the assessment and treatment of the illness. After diagnostic results came out, the nurse discussed with the patient the results, and together they developed a treatment plan.
Incorporating patient values and preferences profoundly helped the nurse tailor intervention for the disease. For instance, the nurse and the patient agreed that the patient would be exercising a least thrice a week and eat a balanced diet in a move to curb the disease. Engaging the patient in the treatment plan increased her satisfaction towards the nurse and the intervention.
The patient’s values and preferences impacted the course of this situation. The first impact of the incorporation of the preferences into treatment plan is improved quality of clinical intervention. The nurse was able to develop a response that enhances the patient outcome (Kon et al., 2016).
Another impact is about the efficiency of the treatment. The patient happily followed the prescribed medication because she was consulted before the prescriptions given to her. Lastly, she took long to come back to the hospital with regards to HBP. In other words, the strategy reduced hospital readmission (Schroy et al., 2014).
The decision aid used in this scenario was the Ottawa Personal/Family Decision Guides (OP/FDG). This model was valuable because it helped the nurse together with the patient to make either social or heath decision (Melnyk & Fineout-Overholt, 2018). The tool was also helpful because it helped the patient decide the next step about their health. I can use this tool in my professional development by planning goals.
References
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
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
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
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Patient preferences in nursing care
Patient preferences in nursing care refer to the individual needs, desires, and values of a patient that should be taken into consideration when planning and delivering nursing care. The preferences can include many aspects of care, such as the type of treatment or medication they receive, the amount of communication and interaction they want from their nurse, the environment they prefer to receive care in, and the cultural and spiritual values that shape their beliefs and behaviors.
Some of the key factors that can influence patient preferences include age, gender, cultural background, health status, and personal values. For example, an older adult may prefer a quieter and calmer environment, while a younger patient may prefer more social interaction and engagement. A patient from a particular cultural background may have specific dietary preferences or religious practices that need to be taken into account.
It is essential for nurses to communicate with patients and actively seek out their preferences in order to provide individualized, patient-centered care. This can involve asking open-ended questions, actively listening to the patient, and encouraging them to express their needs and concerns. By understanding and respecting patient preferences, nurses can create a more positive and supportive care environment, which can lead to better outcomes and higher patient satisfaction.
Examples of patient preferences
Here are some examples of patient preferences in nursing care:
- Treatment options: Patients may have a preference for certain types of treatments or medications based on their past experiences, personal beliefs, or cultural background. For example, a patient may prefer alternative therapies such as acupuncture or herbal remedies over conventional medications.
- Communication style: Patients may have different communication preferences, such as the amount of information they want to receive, how frequently they want to be updated on their condition, and the language they prefer to use. Some patients may prefer detailed explanations and frequent updates, while others may prefer a more succinct and direct communication style.
- Environment: Patients may have preferences regarding their care environment, such as the amount of light and noise in their room, the temperature, and the level of privacy they want. For example, some patients may prefer a quieter environment, while others may want more social interaction and engagement.
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Cultural and spiritual preferences: Patients may have specific cultural or spiritual beliefs that should be taken into account when planning their care. For example, some patients may require special dietary considerations or prefer to have religious or spiritual practices incorporated into their care.
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Caregiver preferences: Patients may have preferences regarding the gender, age, or cultural background of their caregiver. Some patients may feel more comfortable with a caregiver who shares their background or beliefs, while others may not have a preference.
Importance of patient preferences in treatment decisions
Patient preferences play a crucial role in treatment decisions as they can greatly impact the patient’s overall experience and health outcomes. Here are some reasons why patient preferences are important in treatment decisions:
- Improved patient satisfaction: When patients are involved in the decision-making process, they are more likely to feel empowered and satisfied with their care. By considering patient preferences, healthcare providers can improve the patient experience and increase their overall satisfaction with their treatment.
- Increased treatment adherence: Patients are more likely to adhere to their treatment plan when they feel that their preferences and values are being taken into account. By understanding patient preferences, healthcare providers can tailor treatment plans to meet the patient’s unique needs, which can increase treatment adherence and improve health outcomes.
- Better communication: By actively seeking out patient preferences, healthcare providers can improve communication and foster a better relationship with their patients. When patients feel that their healthcare provider is listening and responding to their needs, they are more likely to trust and follow their recommendations.
- Increased patient safety: Patient preferences can also impact patient safety. For example, if a patient has a preference for a certain medication or treatment, healthcare providers can avoid prescribing treatments that may cause adverse reactions or be less effective for the patient.
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Patient-centered care: Patient preferences are a key component of patient-centered care, which is an approach to healthcare that prioritizes the patient’s unique needs and preferences. By incorporating patient preferences into treatment decisions, healthcare providers can ensure that care is individualized, patient-centered, and focused on improving patient outcomes.
