A Joanna Briggs Institute Framework Approach to Shared Decision Making in End-of-Life

Area of Science:

• Oncology
• Palliative Care
• Health Services Research

Background:

• Shared decision-making (SDM) is vital for end-of-life (EOL) cancer care.
• Patient decision aids (PtDAs) can facilitate SDM.
• Implementing these tools requires structured approaches.

Purpose of the Study:

• To implement SDM via PtDAs for initiating palliative care (PC) in EOL cancer patients.
• To develop an evidence-based protocol for PtDA implementation.

Main Methods:

• A comprehensive scoping review of SDM was conducted across multiple databases.
• An evidence-based implementation framework (Joanna Briggs Institute) was utilized.
• Key pillars included context, facilitation, and evaluation.

Main Results:

• Fifteen studies were reviewed, identifying implementation characteristics and strategies.
• Effective SDM considers decision location, timing, participants, and type.
• Proposed a video-format PtDA protocol for PC initiation, adhering to IPDAS and CPG.

Conclusions:

• SDM implementation requires evidence-based models, especially in complex settings.
• National/international frameworks support health innovation adoption, like PtDAs.
• SDM enhances patient satisfaction and care quality; staff training and evaluation are key.