Beyond Lip Service: A Position Paper to Truly Stimulate Shared Decision‐Making.
Aim: To discuss how shared decision‐making (SDM) is currently practised in hospitals, to highlight the essential—yet often underacknowledged—contribution of nurses to inclusive SDM in life‐prolonging treatment decisions, and to propose a five‐step implementation plan to strengthen the role of patien...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 82; no. 4; pp. 3976 - 3986 |
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| Autores principales: | , , |
| Formato: | standards tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192343205&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192343205 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Apr2026 vid: 82 iid: 4 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 192343205 186802672 192343205 192343205 10.1111/jan.70053 192343205 ppf: 3976 ppct: 10 formats: tig: atl: Beyond Lip Service: A Position Paper to Truly Stimulate Shared Decision‐Making. aug: au: Thodé, Maureen Dikken, Jeroen Nanayakkara, Prabath W. B. affil: Department of Internal Medicine, Section General Internal Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands sug: subj: Decision Making, Shared Standards Patient Participation Nursing Role Terminal Care Patient Centered Care Organizational Culture Health Literacy Interprofessional Relations Implementation Science Empowerment Communication Nursing Practice, Evidence-Based Nurses Education Health Care Delivery, Integrated Conceptual Framework Paternalism Nomenclature Multidisciplinary Care Team Psychological Distress Morals Social Values Powerlessness Ethics, Medical Health Care Delivery Education, Continuing Nursing Knowledge Business Intelligence Role Models Experiential Learning ab: Aim: To discuss how shared decision‐making (SDM) is currently practised in hospitals, to highlight the essential—yet often underacknowledged—contribution of nurses to inclusive SDM in life‐prolonging treatment decisions, and to propose a five‐step implementation plan to strengthen the role of patients in the SDM process. Design: A position paper on current SDM practices. Methods: To take a position, we drew on knowledge gained from six empirical studies conducted by our research group and evaluated these findings in light of the most recent literature. Results: A five‐step implementation plan to stimulate SDM: (1) Clarify roles, (2) Organisational alignment, (3) Comprehensive training, (4) Tailored implementation plans, and (5) Sustainable integration. Conclusion: The plan is ambitious, yet it offers a clear and actionable path forward for healthcare organisations and professionals. It provides a concrete opportunity for collaboration to embed SDM in daily clinical practice. Ultimately, our shared objective is to achieve optimal patient outcomes—an aim that unites all stakeholders. Implications for the Profession and/or Patient Care: Integrating nurses into SDM processes will enhance the quality of support for treatment decision‐making. However, to realise truly inclusive, high‐quality, patient‐centred care, coordinated action at multiple organisational levels is essential. Impact: The proposed plan is not only relevant to treatment decisions at the end of life in hospital settings, but also presents broader opportunities to advance SDM across healthcare sectors. It offers nurses a clearly defined and meaningful role in SDM and provides a practical blueprint for implementation at all levels of the organisation—transforming long‐standing ambitions into tangible practice. pubtype: Academic Journal doctype: standards tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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