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Implementing shared decision making (SDM) in nursing improves job satisfaction and patient outcomes. This pediatric hospital successfully standardized and expanded SDM unit councils across all units, with other departments adopting the guidelines.

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Area of Science:

  • Nursing Practice
  • Healthcare Management
  • Patient Outcomes

Background:

  • Shared decision making (SDM) empowers nurses, enhancing job satisfaction and control over practice.
  • Hospitals utilizing SDM report decreased nurse turnover and improved patient outcomes.
  • Establishing effective SDM structures is crucial for healthcare quality improvement.

Purpose of the Study:

  • To describe the implementation of a shared decision making (SDM) structure at a pediatric hospital.
  • To detail the development and application of SDM guidelines for unit councils.
  • To report the successful standardization and expansion of SDM across hospital units.

Main Methods:

  • A chief nurse officer initiated the development of SDM guidelines for unit councils.
  • A multifaceted approach was employed for guideline implementation.
  • Existing unit councils were standardized, and the structure was expanded to all hospital units.

Main Results:

  • Successful standardization of nine existing unit councils.
  • Expansion of the SDM unit council structure to all hospital units.
  • Adoption of SDM guidelines by non-nursing departments, including multidisciplinary teams.

Conclusions:

  • The implemented SDM structure led to successful standardization and expansion within the pediatric hospital.
  • Ongoing refinement of guidelines ensures adaptability to real-world nursing practice.
  • The SDM model has demonstrated broader applicability, being adopted by various allied health professions.