Title | If | then | Outcome |
---|---|---|---|
Reflecting patient and carer values | If health care professionals (HCPs) place less emphasis on ‘fixing people’ and more on patients’ goals, and emotional, cultural & cognitive needs | Patients and their carers will feel valued and listened to | Patient and their family carer feel involved in the decision and satisfied with the outcome |
Preparing (patients and carers) for the SDM encounter | If older people with complex health and social care needs are supported to participate in SDM | Patients and their family carers will feel empowered | The patient and family carers are willing and able to participate in SDM |
Sharing the communication of a decision | If HSCPs are familiar with each other’s expertise, roles and responsibilities, and systems facilitate communication between individuals | Professionals will work better together and are less likely to undermine each other | Once a decision has been made by the patient and a health care professional it will be shared across the MDT/agencies |
Fake vs real SDM | If systems are organised to support and prioritise SDM | SDM is not just seen as a ‘tick box’ exercise by health care professionals | SDM is authentic not tokenistic |
Reducing the workload (for patients and carers) | If HSCPs use appropriate SDM techniques to regularly discuss the clinical value and effectiveness of proposed treatments or interventions | This leads to reduction in inappropriate clinical activity | Reduced treatment burden |