Abstract
Existing decision support interventions regarding dialysis modality choice do not address important decisional needs for patients and their family.
Highlights
To expand our understanding of a decision support interventions (DESIs) from the patient, family, and provider perspective we launched a three-phase study to 1) develop, 2) implement on a pilot basis, and 3) evaluate a nurse-led stage-based DESI comprising of four decision coaching sessions with a Patient decision aids (PDAs) guided by the Ottawa Decision Support Framework (ODSF) [7] and the constructivist evaluation method [16]
This paper describes the third phase of the study, whose objective was to evaluate the experiences of the stage-based DESI (SDESI) among those who participated in its co-construction, namely, patients with advanced chronic kidney disease (ACKD), their spouses, and the nurses who provided the decision coaching
The nurses mentioned that they appreciated the fact that the researcher had accompanied them through the implementation of the stage-based decision support intervention (SDESI) in their practice. This was the first study to develop, implement, and evaluate a SDESI using a constructivist evaluation method [16]. This method facilitated the identification of the subtleties of the SDESI in terms of the structure, process, and outcomes, thereby elucidating how the nurse carried out the DESIs, revealing her critical role in preparing the patients and their families for the choice of dialysis modality
Summary
To evaluate a nurse-led stage-based decision support intervention (SDESI) to promote informed values-based decision making. Method: Guided by the Ottawa Decision Support Framework, a constructivist evaluation method with the participation of two nurses, six patients, and five family members was conducted
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