Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review
Abstract Rationale & objective Shared decision making (SDM) is a collaborative effort between healthcare professionals, individuals with CKD whereby clinical evidence, expected outcomes and potential side-effects are balanced with individual values and beliefs to provide the best mutually decide...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Nephrology |
| Online Access: | https://doi.org/10.1186/s12882-023-03229-8 |
| _version_ | 1827910949732876288 |
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| author | Björn Meijers Karolien Wellekens Marco Montomoli Karmela Altabas Jessica Geter Kate McCarthy Thierry Lobbedez Rumeyza Kazancioglu Nicola Thomas |
| author_facet | Björn Meijers Karolien Wellekens Marco Montomoli Karmela Altabas Jessica Geter Kate McCarthy Thierry Lobbedez Rumeyza Kazancioglu Nicola Thomas |
| author_sort | Björn Meijers |
| collection | DOAJ |
| description | Abstract Rationale & objective Shared decision making (SDM) is a collaborative effort between healthcare professionals, individuals with CKD whereby clinical evidence, expected outcomes and potential side-effects are balanced with individual values and beliefs to provide the best mutually decided treatment option. Meaningful SDM is supported by effective training and education. We aimed to identify the available evidence on SDM training and education of healthcare professionals caring for people with chronic kidney disease. We aimed to identify existing training programs and to explore what means are used to evaluate the quality and effectiveness of these educational efforts. Methodology We performed a scoping review to study the effectiveness of training or education about shared decision making of healthcare professionals treating patients with kidney disease. EMBASE, MEDLINE, CINAHL and APA PsycInfo were searched. Results After screening of 1190 articles, 24 articles were included for analysis, of which 20 were suitable for quality appraisal. These included 2 systematic reviews, 1 cohort study, 7 qualitative studies, and 10 studies using mixed methods. Study quality was varied with high quality (n = 5), medium quality (n = 12), and low quality (n = 3) studies. The majority of studies (n = 11) explored SDM education for nurses, and physicians (n = 11). Other HCP profiles included social workers (n = 6), dieticians (n = 4), and technicians (n = 2). Topics included education on SDM in withholding of dialysis, modality choice, patient engagement, and end-of-life decisions. Limitations We observed significant heterogeneity in study design and varied quality of the data. As the literature search is restricted to evidence published between January 2000 and March 2021, relevant literature outside of this time window has not been taken into account. Conclusions Evidence on training and education of SDM for healthcare professionals taking care of patients with CKD is limited. Curricula are not standardized, and educational and training materials do not belong to the public domain. The extent to which interventions have improved the process of shared-decision making is tested mostly by pre-post testing of healthcare professionals, whereas the impact from the patient perspective for the most part remains untested. |
| first_indexed | 2024-03-13T01:56:29Z |
| format | Article |
| id | doaj.art-8b36852969234fa1a0242fbea83a74b0 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-03-13T01:56:29Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-8b36852969234fa1a0242fbea83a74b02023-07-02T11:10:01ZengBMCBMC Nephrology1471-23692023-06-012411910.1186/s12882-023-03229-8Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping reviewBjörn Meijers0Karolien Wellekens1Marco Montomoli2Karmela Altabas3Jessica Geter4Kate McCarthy5Thierry Lobbedez6Rumeyza Kazancioglu7Nicola Thomas8Department of Nephrology, Department of Microbiology, Immunology and Transplantation, UZ Leuven, KU LeuvenDepartment of Nephrology, Department of Microbiology, Immunology and Transplantation, UZ Leuven, KU LeuvenDepartment of Nephrology, Hospital Clínico UniversitarioDepartment of Nephrology and Dialysis, UC Sisters of MercyBaxter Healthcare CorpBaxter Healthcare LtdDepartment of Nephrology, University Hospitals of CaenDepartment of Nephrology, Bezmialem Vakif UniversityLondon South Bank UniversityAbstract Rationale & objective Shared decision making (SDM) is a collaborative effort between healthcare professionals, individuals with CKD whereby clinical evidence, expected outcomes and potential side-effects are balanced with individual values and beliefs to provide the best mutually decided treatment option. Meaningful SDM is supported by effective training and education. We aimed to identify the available evidence on SDM training and education of healthcare professionals caring for people with chronic kidney disease. We aimed to identify existing training programs and to explore what means are used to evaluate the quality and effectiveness of these educational efforts. Methodology We performed a scoping review to study the effectiveness of training or education about shared decision making of healthcare professionals treating patients with kidney disease. EMBASE, MEDLINE, CINAHL and APA PsycInfo were searched. Results After screening of 1190 articles, 24 articles were included for analysis, of which 20 were suitable for quality appraisal. These included 2 systematic reviews, 1 cohort study, 7 qualitative studies, and 10 studies using mixed methods. Study quality was varied with high quality (n = 5), medium quality (n = 12), and low quality (n = 3) studies. The majority of studies (n = 11) explored SDM education for nurses, and physicians (n = 11). Other HCP profiles included social workers (n = 6), dieticians (n = 4), and technicians (n = 2). Topics included education on SDM in withholding of dialysis, modality choice, patient engagement, and end-of-life decisions. Limitations We observed significant heterogeneity in study design and varied quality of the data. As the literature search is restricted to evidence published between January 2000 and March 2021, relevant literature outside of this time window has not been taken into account. Conclusions Evidence on training and education of SDM for healthcare professionals taking care of patients with CKD is limited. Curricula are not standardized, and educational and training materials do not belong to the public domain. The extent to which interventions have improved the process of shared-decision making is tested mostly by pre-post testing of healthcare professionals, whereas the impact from the patient perspective for the most part remains untested.https://doi.org/10.1186/s12882-023-03229-8 |
| spellingShingle | Björn Meijers Karolien Wellekens Marco Montomoli Karmela Altabas Jessica Geter Kate McCarthy Thierry Lobbedez Rumeyza Kazancioglu Nicola Thomas Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review BMC Nephrology |
| title | Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review |
| title_full | Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review |
| title_fullStr | Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review |
| title_full_unstemmed | Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review |
| title_short | Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review |
| title_sort | healthcare professional education in shared decision making in the context of chronic kidney disease a scoping review |
| url | https://doi.org/10.1186/s12882-023-03229-8 |
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