Shared Decision Making Training Program for Nurses to Support Down Syndrome Screening Decisions
Recently published JMIR publications “Online training for nurses on the use of a decision aid tool to support shared decision-making regarding prenatal screening: a parallel controlled trial” in JMIR Nursing who reported that in this study, these authors aimed to assess the impact of a Shared Decision Making (SDM) training program on nurses’ intention to use a decision aid with pregnant women opting for prenatal screening for Down syndrome.
They were allocated for convenience either to the intervention group or to the control group.
After the intervention, the mean intention score was 6.3 for the intervention group and 6.0 for the control group.
The intervention was significantly more acceptable in the intervention group, and reaction to the educational approach was also significantly more positive in the intervention group.
It shows that nurses’ intention to use a decision aid to improve SDM in antenatal care is high, with or without training, but that their knowledge of SDM can be improved with online training.
In Quebec, prenatal screening for trisomy 21 (Down’s syndrome) during prenatal follow-up is offered to all pregnant women within the framework of public health services, as well as in some private clinics. »
Dr. France Légaré
The SDM improves the healthcare experiences of patients and healthcare professionals, and leads to better healthcare processes, patient experience and outcomes, optimal healthcare expenditures and a health care system. fairer health care.
To implement the SDM in clinical practice, several approaches have been proposed in the literature, including interactive skills workshops for health professionals and the implementation of SDM tools called decision aids.
Because of their close and trusting relationship with patients, their intimate understanding of their community environment, their understanding of biology, and their communication skills, nurses could be powerful allies in implementing the SDM. in prenatal care.
Most studies on the implementation of the SDM focus on physicians, but with the transformation of health care systems, nurses are increasingly involved in clinical decision-making, and their crucial role must be urgently recognized.
Moreover, numerous studies point out that an interprofessional approach to the SDM, within the context of team-based health care, has advantages for the implementation of the SDM.
Dr. Légaré and the research team concluded in their research findings from JMIR publications that this study focuses on the potential of web-based nursing education to support the decision-making needs of pregnant women.
These authors assessed nurses’ intention to use a decision aid (DA) to support prenatal screening decisions in pregnant women and their overall impressions of the training. This study showed that nurses’ intention to use an AD in antenatal care is already high, with or without training, but that their knowledge of the SDM could be improved with training. Their findings will inform future strategies for implementing SDM behaviors in this population.
The study also suggested avenues for future evaluations of SW Award training programs. The next steps will be to update the program by incorporating the written feedback received from the participants and to evaluate the impact of the course with all health professionals involved in prenatal care.
Herron, AP, et al. (2022) Online training for nurses on using a decision aid tool to support shared decision making regarding prenatal screening: a parallel controlled trial. JMIR Nursing. doi.org/10.2196/31380.