NURS 6052 Discussion Patient Preferences
NURS 6052 Discussion Patient Preferences
NURS 6052/NURS5052/NRSE6052 Essent of Evidence
Week 8 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.
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 Instituteâ€™s Decision Aids Inventory at https://decisionaid.ohri.ca/.
Choose â€œFor Specific Conditions,â€ then Browse an alphabetical listing of decision aids by health topic.
NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patientâ€™s real name or any information that might identify the patient or organization/practice.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Healthcare professionals work in different settings, and their experiences with patients vary contextually. Despite encountering different patients, healthcare professionals are advised to promote patient-centeredness and ensure that patient values and preferences are incorporated into the treatment plan. Such considerations help to minimize health-related issues hence improving patient care outcomes. Decision aids are among the tools recommended for health professionals to improve decision-making.
I have experienced many situations in practice; some require incorporating patient preferences and values, while others do not need it. I once experienced a case where a patient had challenges choosing between medicines for high blood pressure and trying lifestyle changes first. She was unsure which method was the most effective in terms of recovery time and lasting effects. Incorporating patient preferences and values impacted the treatment plan positively since it was patient-centered, and the patient understood all the components. As González-Bueno et al. (2018) pointed out, patient-centeredness improves medication adherence. Similarly, the patient was more comfortable with the final decisions after evaluating the options.
Including patient preferences and values promotes patient engagement and improves patient care outcomes. Besides scientific evidence and clinical expertise, patient preferences and values are vital to evidence-based practice (Melnyk & Fineout-Overholt, 2018). It is the foundation of patient-centered care where patients play an active role in formulating treatment plans. The same was reflected in the treatment plan since the patient actively participated in decision-making. As Bombard et al. (2018) noted, patient engagement improves the patient-provider relationship and care quality. Similarly, engaging the patient in decision-making improved my relationship with her since she opened up about her everyday activities, fears, and cultural barriers affecting her choices.
The patient decision aid relevant to this situation is the “High Blood Pressure: Should I Take Medicine” option. It has various components to guide decision-making; facts, options comparison, patient’s feelings, decision, self-assessment, and summary (Healthwise Staff, 2022). The options comparison part is the most critical since it compares the effectiveness and setbacks of taking medications versus lifestyle changes. The decision aid contributes to informed decision-making since it analyzes the pros and cons of medications and lifestyle changes in high blood pressure control. In this case, the patient chooses the preference while knowing the benefits and side effects. Patient decision aids ensure that decisions are explicit by providing adequate and clear information about the options and expected outcomes (The Ottawa Hospital Research Institute, 2019). I will continue using this decision aid inventory to guide patients and families in making rational choices regarding high blood pressure control.
Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., … & Pomey, M. P. (2018). Engaging patients to improve quality of care: A systematic review. Implementation Science, 13(1), 1-22. https://doi.org/10.1186/s13012-018-0784-z
González-Bueno, J., Calvo-Cidoncha, E., Sevilla-Sánchez, D., Molist-Brunet, N., Espaulella-Panicot, J., & Codina-Jané, C. (2018). Patient-centered prescription model to improve therapeutic adherence in patients with multimorbidity. Farmacia Hospitalaria, 42(3), 128-134. https://doi.org/10.7399/fh.10961
Healthwise Staff. (2022). High blood pressure: should I take medicine? https://www.healthwise.net/ohridecisionaid/Content/StdDocument.aspx?DOCHWID=zx1768
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
The Ottawa Hospital Research Institute. (2019). Patient decision aids. https://decisionaid.ohri.ca/