Shared Decision Making in Home Hospice Nursing Visits: A Qualitative Study

Overview

Journal J Pain Symptom Manage

Publisher Elsevier

Specialties Critical Care
Pharmacology
Psychiatry

Date 2017 Nov 13

PMID 29128433

Citations 5

Authors

Debra Parker Oliver

Karla Washington

George Demiris

Audrey Wallace

Marc R Propst

Aisha M Uraizee

Kevin Craig

Margaret F Clayton

Maija Reblin

Lee Ellington

Affiliations

Soon will be listed here.

Abstract

Context: Shared decisions between health care providers and patients and families are replacing the traditional physician-driven plans of care. Hospice philosophy recognizes the patient and family as a unit of care and embraces their role in decision making.

Objective: The goal of this study was to evaluate the shared decisions between hospice nurses and patients and family members.

Methods: A secondary analysis of audio recordings of 65 home hospice nurse visits from 65 home hospice nurse visits in 11 different U.S. hospice programs.

Results: To varying degrees, hospice nurses used all the recommended elements of shared decision making during home visits with patients and families; however, not all elements were used in every visit. The most commonly used element was defining a problem, and the least used element was the assessment of patient and family understanding.

Conclusions: Hospice staff can benefit from a more purposeful shared decision-making process and a greater focus on assessment of patient and family understanding and ability to implement plans of care.

Citing Articles

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Belar A, Arantzamendi M, Menten J, Payne S, Hasselaar J, Centeno C Cancers (Basel). 2022; 14(2).

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A Goal-Directed Model of Collaborative Decision Making in Hospice and Palliative Care.

Washington K, Demiris G, White P, Mathis H, Forsythe J, Parker Oliver D J Palliat Care. 2021; 37(2):120-124.

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Behind the doors of home hospice patients: A secondary qualitative analysis of hospice nurse communication with patients and families.

Parker Oliver D, Tappana J, Washington K, Rolbiecki A, Craig K, Demiris G Palliat Support Care. 2019; 17(5):579-583.

PMID: 30841945 PMC: 6732050. DOI: 10.1017/S1478951518001098.

People With Advanced Cancer: The Process of Living Well With Awareness of Dying.

Arantzamendi M, Garcia-Rueda N, Carvajal A, Robinson C Qual Health Res. 2018; 30(8):1143-1155.

PMID: 30539681 PMC: 7307002. DOI: 10.1177/1049732318816298.

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