Debra Parker Oliver1, Karla Washington2, George Demiris3, Audrey Wallace4, Marc R Propst5, Aisha M Uraizee5, Kevin Craig2, Margaret F Clayton6, Maija Reblin7, Lee Ellington6. 1. Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA. Electronic address: oliverdr@missouri.edu. 2. Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA. 3. Biobehavioral Health Sciences, School of Nursing & Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. 4. University of Alabama, Birmingham, Alabama, USA. 5. University of Missouri School of Medicine, Columbia, Missouri, USA. 6. College of Nursing, University of Utah, Salt Lake City, Utah, USA. 7. Department of Health Outcomes & Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Abstract
CONTEXT: Shared decisions between health care providers and patients and families are replacing the traditional physician-driven plans of care. Hospice philosophy recognizes the patient and family as a unit of care and embraces their role in decision making. OBJECTIVE: The goal of this study was to evaluate the shared decisions between hospice nurses and patients and family members. METHODS: A secondary analysis of audio recordings of 65 home hospice nurse visits from 65 home hospice nurse visits in 11 different U.S. hospice programs. RESULTS: To varying degrees, hospice nurses used all the recommended elements of shared decision making during home visits with patients and families; however, not all elements were used in every visit. The most commonly used element was defining a problem, and the least used element was the assessment of patient and family understanding. CONCLUSIONS: Hospice staff can benefit from a more purposeful shared decision-making process and a greater focus on assessment of patient and family understanding and ability to implement plans of care.
CONTEXT: Shared decisions between health care providers and patients and families are replacing the traditional physician-driven plans of care. Hospice philosophy recognizes the patient and family as a unit of care and embraces their role in decision making. OBJECTIVE: The goal of this study was to evaluate the shared decisions between hospice nurses and patients and family members. METHODS: A secondary analysis of audio recordings of 65 home hospice nurse visits from 65 home hospice nurse visits in 11 different U.S. hospice programs. RESULTS: To varying degrees, hospice nurses used all the recommended elements of shared decision making during home visits with patients and families; however, not all elements were used in every visit. The most commonly used element was defining a problem, and the least used element was the assessment of patient and family understanding. CONCLUSIONS: Hospice staff can benefit from a more purposeful shared decision-making process and a greater focus on assessment of patient and family understanding and ability to implement plans of care.
Authors: Jennifer Tjia; Lee Ellington; Margaret F Clayton; Celeste Lemay; Maija Reblin Journal: J Pain Symptom Manage Date: 2015-07-06 Impact factor: 3.612
Authors: Lee Ellington; Kristin G Cloyes; Jiayun Xu; Lanell Bellury; Patricia H Berry; Maija Reblin; Margaret F Clayton Journal: Palliat Support Care Date: 2017-05-03
Authors: Karla T Washington; Debra Parker Oliver; L Ashley Gage; David L Albright; George Demiris Journal: Palliat Med Date: 2015-08-17 Impact factor: 4.762
Authors: Debra Parker Oliver; Jessica Tappana; Karla T Washington; Abigail Rolbiecki; Kevin Craig; George Demiris; Collyn Schafer; Mumeenat Winjobi; Margaret F Clayton; Maija Reblin; Lee Ellington Journal: Palliat Support Care Date: 2019-10
Authors: Karla T Washington; George Demiris; Patrick White; Holly C Mathis; John E Forsythe; Debra Parker Oliver Journal: J Palliat Care Date: 2021-11-17 Impact factor: 1.980