Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.
PLoS One. 2024 Nov 18;19(11):e0312990. doi: 10.1371/journal.pone.0312990. eCollection 2024.
Shared decision-making (SDM) involves patients in choosing their treatment or care options. SDM enhances patient engagement and treatment satisfaction. SDM has proved difficult to implement and sustain in routine clinical practice, hence a supportive tool is needed. This quality improvement study focuses on the development of a generic tool, labeled SDM:KOMPASS, which is intended to support hospital settings by facilitating the visualization of their formative progress and the setting of goals for the SDM implementation into routine clinical practice. The main objective of the present paper is to describe the development of this generic tool. A six-step development process was performed to develop a tool and investigate the tool's overall perceived usability. Qualitative methods, such as observations, individual and focus group interviews, provided insights. A 10-item quantitative survey gauged informants' immediate attitudes towards the tool. Purposefully sampled informants (N = 20), including healthcare professionals and patients, contributed diverse perspectives regarding; 1) The tool's readability and clarity, 2) the construct's domains and content, and 3) the tool's perceived usability. In alignment with real-world challenges, SDM:KOMPASS emerges as a potentially valuable resource for healthcare organizations embedding SDM. The six-step development process revealed how the tool SDM:KOMPASS has potential to enhance SDM implementation's manageability, goal-setting, and focus. Professionals engaged in strategic implementation within somatic and mental hospital departments find the tool potentially beneficial and feasible. The tool shows promise and usability but requires careful attention due to its comprehensiveness. The next step is to alpha test the tool in clinical practice.
共同决策（SDM）涉及患者选择治疗或护理方案。SDM 增强了患者的参与度和治疗满意度。SDM 在常规临床实践中实施和维持证明具有挑战性，因此需要一个支持性工具。这项质量改进研究专注于开发一种通用工具，称为 SDM：KOMPASS，旨在通过促进其形成性进展的可视化和为常规临床实践中的 SDM 实施设定目标来支持医院环境。本论文的主要目的是描述该通用工具的开发。采用六步开发过程来开发工具并研究工具的整体感知可用性。定性方法，如观察、个人和焦点小组访谈，提供了见解。一项 10 项的定量调查衡量了受访者对工具的即时态度。有目的抽样的受访者（N = 20），包括医疗保健专业人员和患者，就以下方面提供了不同的观点；1）工具的可读性和清晰度，2）构建的领域和内容，以及 3）工具的感知可用性。与现实世界的挑战相一致，SDM：KOMPASS 作为一种将 SDM 嵌入医疗保健组织的潜在有价值的资源出现。六步开发过程揭示了工具 SDM：KOMPASS 如何具有增强 SDM 实施的可管理性、目标设定和重点的潜力。参与躯体和精神医院部门战略实施的专业人员认为该工具具有潜在的益处和可行性。该工具显示出前景和可用性，但由于其全面性需要谨慎关注。下一步是在临床实践中对工具进行 alpha 测试。
