Supporting shared decision-making: online blended learning for general practitioners and nurses: Presenter(s): Danique Bos, Amsterdam UMC, Netherlands. (April 2023)

• Record Type: Journal Article
• Authors: Smets, Ellen; Ali, Rania; Tange, Dorien; van Laarhoven, Hanneke; Henselmans, Inge
• Is Part Of: Patient education and counseling. Volume 109(2023)Supplement
• Page Start: 103
• Publication Date: 2023-04
• Subjects: Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2022.10.239
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract : Background: The increasingly distributed and interprofessional nature of care has raised attention for interprofessional shared decision-making (SDM). To promote interprofessional SDM in palliative cancer care, we aimed to develop and evaluate a blended learning for GPs and nurses on supporting SDM about palliative cancer treatment. Methods: The blended learning was evaluated in a one-group pre-posttest design. Participants (17 GPs and 16 nurses) engaged in an e-learning (1 hour) and (online) training session (3.5 hours). The content of the training was based on three strategies for supporting SDM (i.e., checking the quality of a decision, complementing SDM and enabling SDM), reported in qualitative studies with both GPs and nurses. Simulated consultations and surveys were conducted before (T0) and after (T2) the blended learning; another survey was filled in after the e-learning (T1). SDM support observed in the recorded consultations constituted the primary outcome, which was assessed by two raters using the DSAT10 and Triple-S. Secondary outcomes were observed strategies for supporting SDM as well as healthcare professionals' self-reported knowledge, clinical behavioural intention and satisfaction with the communication. General Linear Models for repeated measures were constructed. Findings: The blended learning had a significant positive effect on SDM support behavior as measured with the Triple-S (Cohen's d = 1.20), not on support as measured with the DSAT10 (Cohen's d = 0.70). Also, beliefs about capabilities (one factor of clinical behavioural intention) and knowledge improved after the training. Satisfaction with the conversation and intention, social influence, moral norm and beliefs about consequences did not significantly improve after the training. The effect of training did not differ between GPs and nurses. Discussion: The results show that a blended learning can improve the SDM support skills of healthcare professionals. A next step is to investigate how cancer patients and survivors experience SDM support in simulated consultations.