A systematic process for creating and appraising clinical vignettes to illustrate interprofessional shared decision...

Area of Science:

• Health Professions Education
• Interprofessional Collaboration
• Shared Decision-Making

Background:

• Vignettes and case simulations are established tools in health research and education.
• A need exists for theory-based, illustrative tools for interprofessional shared decision-making (IP-SDM).

Purpose of the Study:

• To devise and appraise a systematic process for creating theory-based video vignettes.
• To illustrate an interprofessional approach to shared decision-making (IP-SDM) for health professionals.

Main Methods:

• A six-stage development process was used, including content determination, scenario selection, script drafting, appraisal using evaluation instruments, peer review, and pre-/post-test evaluation.
• A video vignette depicted five health professionals interacting with an elderly patient and her daughter regarding care location.
• Twenty-nine home care professionals evaluated the vignette and participated in workshops.

Main Results:

• The vignette development process yielded a highly-rated, true-to-life script.
• Participants rated the video vignette positively (excellent/good).
• Workshop participants showed significantly improved knowledge of IP-SDM post-intervention (p < 0.0001).

Conclusions:

• The systematic process effectively created a valuable video vignette for illustrating IP-SDM.
• The video vignette, within a workshop, appears to enhance health professionals' knowledge of IP-SDM.
• This approach can be adapted to develop and appraise vignettes for IP-SDM in diverse healthcare contexts.