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Interdisciplinary shared decision-making: taking shared governance to the next level.

Marie Golanowski1, Diane Beaudry, Lynne Kurz

  • 1Aurora Health Care, Milwaukee, WI 53201, USA. Golanowski@aurora.org

Nursing Administration Quarterly
|October 3, 2007
PubMed
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Implementing interdisciplinary shared decision-making (SDM) requires strong leadership and staff accountability. This model improved healthcare innovation and patient care quality through enhanced decision-making at the point of service.

Area of Science:

  • Healthcare Management
  • Clinical Decision Support
  • Patient Care Improvement

Background:

  • Healthcare organizations face pressure to deliver affordable, efficient, and high-quality care.
  • Transforming healthcare requires effective leadership and organizational-wide contributions.
  • Interdisciplinary collaboration is crucial for advancing healthcare delivery models.

Purpose of the Study:

  • To describe the design, implementation, and refinement of an interdisciplinary shared decision-making (SDM) model.
  • To outline the principles underpinning the SDM model: accountability, equity, ownership, and partnership.
  • To explore how SDM can support staff in making effective decisions at the point of service.

Main Methods:

  • The article details a healthcare organization's journey in developing and implementing an SDM model.

Related Experiment Videos

  • The model emphasizes leadership commitment, front-line manager accountability, and staff ownership.
  • Continuous refinement of the SDM processes was integral to its implementation.

    • Main Results:

    • Preliminary outcomes suggest a positive impact on the organization's ability to innovate.
    • The SDM model has contributed to improvements in patient care.
    • Enhanced decision-making at the point of service was observed.

    Conclusions:

    • Successful SDM relies on committed leadership and empowered staff.
    • The implemented SDM model shows promise for enhancing healthcare quality and efficiency.
    • Organizations can find better ways to innovate and improve patient care through structured decision-making processes.