Related Experiment Video
Updated: Oct 11, 2025
07:31
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.3K
Validation of the SDM Process Scale to Evaluate Shared Decision-Making at Clinical Sites
Floyd J Fowler1, Karen R Sepucha2,3, Vickie Stringfellow4
1Center for Survey Research, University of Massachusetts Boston, Boston, USA.
Journal of Patient Experience
|December 6, 2021
Summary
The Shared Decision-Making (SDM) Process scale reliably measures patient involvement in surgical decisions. Higher scores were observed at sites using decision aids, validating the scale for clinical use.
Area of Science:
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision-making (SDM) is crucial for patient-centered surgical care.
- Validating measurement tools is essential for assessing SDM implementation in clinical settings.
Purpose of the Study:
- To assess the reliability and validity of the Shared Decision-Making (SDM) Process scale.
- To evaluate SDM levels in surgical patients across different clinical sites.
Main Methods:
- Utilized mail surveys from patients undergoing surgery at 9 clinical sites and a national web survey.
- Assessed scale reliability using intra-class correlation and validity through comparisons between sites using decision aids and usual care.
Main Results:
- The SDM Process scale demonstrated strong reliability (ICC=0.93).
- Patients at sites using decision aids reported significantly higher SDM scores compared to national samples and usual care sites.
- The scale showed good validity in assessing SDM for surgical decisions.
Conclusions:
- The SDM Process scale is a reliable and valid instrument for measuring SDM in surgical decision-making.
- Decision aids appear to enhance SDM in clinical practice.
- The scale can be used to assess SDM at clinical sites for various surgeries.
Related Concept Videos
01:03Data Validation
5.8K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
5.8K
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
270
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
270
01:25Formulating and Validating Nursing Diagnosis II
3.2K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
3.2K
01:14SBAR II: Application of SBAR
5.0K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.0K
01:15Methods of Documentation VI: Case Management Model
654
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
654