• Login
    View Item 
    •   Home
    • UA Graduate and Undergraduate Research
    • UA Theses and Dissertations
    • Dissertations
    • View Item
    •   Home
    • UA Graduate and Undergraduate Research
    • UA Theses and Dissertations
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Patient and Caregiver Perception of Shared Decision Making in the Serious Illness Conversation

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    azu_etd_16518_sip1_m.pdf
    Size:
    1.853Mb
    Format:
    PDF
    Download
    Author
    Diamse, Eleanor Olayon
    Issue Date
    2018
    Keywords
    advanced care planning
    end of life
    goals of care
    palliative care
    serious illness
    serious illness conversation
    Advisor
    Shea, Kimberly
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: The Institute of Medicine finds that patients facing serious illness have higher end-of-life quality when care plans incorporate their values, goals and preferences. A higher quality of life can be achieved by care that includes effective clinician-patient communication early in the disease trajectory. Shared decision making (SDM) among providers, caregivers and patients requires communication that considers patient’s values and preferences as well as the best clinical evidence to determine the best course of action. SDM is an essential part of an effective serious illness conversation. As straightforward as this approach to communication may appear, many barriers, on the part of the patient and family, the provider, and the system impair medical decision making. To overcome these challenges, the Serious Illness Conversation (SIC) Guide can be used to help assure that SDM is accomplished. The SIC Guide, developed and rigorously tested at the Dana-Farber Cancer Institute, was designed to systematically guide clinicians through the difficult conversation with patients facing serious illness and potential treatment decisions. Objective: To evaluate patient and caregiver perception of shared decision making (SDM) when discussing goals of care, in the context of a serious illness, between the patient and clinician using a systematic tool to guide the conversation. Design: Program evaluation with observational and quantitative descriptive methodologies Setting: Neuroscience and medical-oncology acute care floors in a medium-sized hospital in rural Colorado Participants: Five patients and 13 caregivers took part in a goals of care conversation with the provider using the SIC Guide to facilitate the conversation. Measurement: Patient and caregiver perception of SDM measured with the CollaboRATE survey. This validated survey evaluates three dimensions of SDM: explanation of health issue, listening for what matters most to the patient, and integration of what is important to the patient in the care plan. Results: Mean survey score for all participants is 8.50 with a standard deviation of 0.84. Maximum mean score is 9. Percentage of participants who gave perfect scores is 67%. Conclusion: From the patient and caregiver perspectives, SDM is achieved when providers use the SIC Guide to facilitate the goals of care discussion.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
    Collections
    Dissertations

    entitlement

     
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.