SHARED DECISION MAKINGa Nursing Perspective…

Professor Tracey BucknallFoundational Chair in Nursing &

Director of Nursing Research Alfred Health

Undergraduate Education• No standard, national approach• Focus on risk management & informed

consent from clinician perspective. • Technical skills in simulation and clinical

placements• Focus on quality and patient safety– Emphasis on nurses identifying patient

preferences, needs and expectations across the lifespan, diverse populations and clinical settings.

– NSQHS Standards strong driver

Postgraduate Education• Some specialties, such as Midwifery, Mental

Health and Critical Care, have greater focus on patient/consumer/family involvement/empowerment in treatment decision making.

• Curriculum focus increasing on NSQHS Standards – Standard 2 Partnering with Consumers

• Increased focus seen in research degrees.

Key challenges (1)• Three concurrent areas for curriculum

development required:– knowledge (benefits of patient input, evidence); – skills (in using tools & processes/ communication/

informed consent/disclosure/negotiation/seeking opinions from consumers etc) and;

– attitude (commitment to patient-centred care and respect for patient/family insight).

Key Challenges (2)

• Convincing educational providers of the need to prioritise early integration of patient engagement into curricula and training of health professionals.

• Insufficient research with focus on nurse/pt relationship and treatment effectiveness to integrate into curricula

• Overcoming disciplinary silos in training & practice