Shared Decision-making Competencies Necessary for a Participatory Practice

Monday, 18 November 2013: 10:20 AM

Marie Truglio Londrigan, PhD, RN
College of Health Professions, Lienhard School of Nursing, Pace University, Pleasantville, NY

Learning Objective 1: The learner will be able to discuss the process of shared decision-making between the nurse as a healthcare provider and a patient/family member.

Learning Objective 2: The learner will be able to discuss the competencies necessary to facilitate the shared decision-making process.

The literature presents the concept of shared decision-making as a multidimensional complex process that is characterized by a partnership between the nurse and the patient that is participatory and action-oriented. The shared decision- making process takes shape and form as it unfolds within the nurse-patient relationship. As a mutual process, shared decision-making is flexible and dynamic where education and negotiation leads the way to mutuality of agreement.  Shared decision-making, as a way of practicing, is different from the autocratic approach where one person is making the decisions for another. This difference signifies an alternative set of competencies necessary to facilitate the shared decision-making process. This set of competencies includes: relational communication, assessment skills that includes coming to know what the patient knows and does not know, assessment of patient and family readiness to learn, learning styles, language skills, teaching/learning capabilities, methods of evaluation, family, interprofessional/intraprofessional/community teamwork skills,  as well as an understanding of ethical and reflective practice. The purpose of this presentation is to present these competencies, and others, that nurses need to know and enact in order to integrate the shared decision-making process within their participatory practice.