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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Beyond Lip Service: A Position Paper to Truly Stimulate Shared Decision-Making.

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This paper proposes a five-step plan to improve shared decision-making (SDM) in hospitals, emphasizing nurses' crucial role. Implementing this plan can enhance patient-centered care and treatment decisions.

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nurse involvementnursingpatient empowermentpatient‐centred careshared decision‐makingtreatment decision‐making

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Area of Science:

  • Healthcare Management
  • Clinical Practice
  • Patient Engagement

Background:

  • Shared decision-making (SDM) is integral to patient-centered care, particularly in life-prolonging treatment decisions.
  • Nurses play a vital, yet often under-recognized, role in facilitating inclusive SDM within hospital settings.
  • Current SDM practices require enhancement to fully empower patients in treatment choices.

Purpose of the Study:

  • To examine current hospital-based shared decision-making (SDM) practices.
  • To underscore the significant contribution of nurses to inclusive SDM in critical treatment decisions.
  • To introduce a five-step implementation strategy for strengthening patient involvement in SDM.

Main Methods:

  • A position paper approach was utilized, synthesizing findings from six empirical studies.
  • Recent literature was critically evaluated to inform the proposed SDM implementation plan.
  • The methodology focused on developing actionable strategies for enhancing SDM.

Main Results:

  • A five-step plan was developed to promote SDM: Clarify roles, Organizational alignment, Comprehensive training, Tailored implementation plans, and Sustainable integration.
  • The plan provides a structured framework for healthcare organizations to embed SDM into daily practice.
  • Nurse integration into SDM processes is identified as key to enhancing decision-making support.

Conclusions:

  • The proposed plan offers a practical and ambitious pathway for healthcare organizations to advance SDM.
  • Successful implementation requires coordinated action across multiple organizational levels for inclusive, patient-centered care.
  • The strategy aims to transform SDM ambitions into tangible practices, improving patient outcomes across healthcare sectors.