Patient Preferences and Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

Note: You must review the Module Assignment in Week 9 for your initial post in this Discussion. You will develop interview questions for that Assignment, and this Discussion requires you to reflect on how you might apply your learning from this week to those questions.

• Research and find one peer-reviewed article related to an ANA functional area that you would like to further develop as a nurse informaticist.
• The Library recommends the following:
  •  Navigate to the Nursing Research databases. 
  •  Select a database with which to start. You can try more than one.
  •  Perform a basic search with one of the functional areas that are listed in the text. You don’t necessarily need to use the exact wording of the functional areas. For example, “Development of Systems, Products, and Resources” might be expressed as “systems development.” Look at your initial results to see if the wording fits your topic.
  • Add a second concept in Box 2 to focus your search. It helps to keep concepts separate, especially when multiple boxes are provided. Try: informatics.
  • Refine your results depending on what you find. Don’t be afraid to try alternate words or combinations of words to get a sizeable hit list, then you can apply limits.
  • To apply limits, scroll down in the left column to limit by date (last 5 years) and limit the results to peer-reviewed scholarly journals only. It helps to do this after you know you have performed a successful search and identified possible synonyms and sub-topics.
• Use the Annotated Biobibliography template in the Resources to write an annotated bibliography entry, focusing on how the chosen article applies to developing your functional area as a nurse informaticist.

By Day 3 of Week 8

Post your annotated bibliography entry directly in the Discussion thread (i.e., do not upload the Annotated Bibliography template). Your article analysis should focus on how the chosen article applies to further developing your functional area as a nurse informaticist. Then, explain how learning from the article might influence your questions for your Module Assignment interview. Be specific.

Workplace Environment Assessment

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review the Work Environment Assessment Template.
• Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
• Select and review one or more of the following articles found in the Resources:
  • Clark, Olender, Cardoni, and Kenski (2011)
  • Clark (2018)
  • Clark (2015)
  • Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

• Review the Work Environment Assessment Template you completed for this Module’s Discussion.
• Describe the results of the Work Environment Assessment you completed on your workplace.
• Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
• Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

• Briefly describe the theory or concept presented in the article(s) you selected.
• Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
• Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

• Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
• Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

Chapter 18 of the text takes an aggressive adversarial role in accomplishing the human services agenda.  Do you agree with this approach?  Why or why not?  If not, what approach do you suggest and why? Support your discussion with a minimum of one scholarly, peer-reviewed source that was published within the last five years and cited according to APA guidelines. 

Instructions:

Watch the video then evaluate the speech by answering these questions: 

• Audience: What was the speaker’s target audience? How do you know?
• Introduction: Identify the speaker’s attention-getter, topic, and thesis. Did the attention-getter grab your interest? Why or why not? What was the speaker’s thesis or central idea? 
• Body: What pattern of the organization did the speaker use? What types of persuasion did the speaker use? Were they effective? Why or why not? 
• Conclusion: Did the speaker end strongly? Why or why not?  
• Presentation Aids: How did the speaker use presentation aids? 
• Delivery: Was the delivery of the speech effective? Why or why not?

Bob’s Failure of a Persuasive Speech

 Please be sure to validate your opinions and ideas with citations and references in APA format. 

Peer review

Instructions:

Please post 1 peer response.

In the response post, include the following:

• What suggestions would you offer the speaker to strengthen the persuasive speech?
• What advice would you give the speaker?

Please be sure to validate your opinions and ideas with citations and references in APA format.