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Area of Science:

  • Healthcare Implementation Science
  • Patient-Centered Care
  • Clinical Practice Improvement

Background:

  • Shared decision making (SDM) is crucial but difficult to implement in clinical practice.
  • A Danish region developed a novel model, SDM:HOSP, for sustained SDM implementation.
  • This approach moves beyond traditional barrier/facilitator research.

Purpose of the Study:

  • To describe the development of a generic, sustainable implementation model for SDM in hospitals.
  • To create a model based on real-world implementation initiatives and learnings.

Main Methods:

  • The project involved five hospital units in the Region of Southern Denmark.
  • A four-phase process included conceptual element development, field-testing, evaluation, and model finalization.
  • Methods integrated SDM theory, implementation science, and improvement methodologies.

Main Results:

  • Field testing revealed the need for a dynamic and adaptable model.
  • The final SDM:HOSP model features four themes: Leader Training, Teacher/Clinician Training, Decision Helper, and Process.
  • Each theme has three levels: shared elements, recommendations, and local adaptation.

Conclusions:

  • A feasible and acceptable model for hospital-wide SDM implementation was developed.
  • The SDM:HOSP model is adaptable to different organizational cultures and settings.
  • Further research and testing are recommended to evaluate the model's usability.