The impact of an educational program on nurses' shared decision making attitudes: A randomized controlled trial

Elsevier

Available online 2 May 2022, 151587

Applied Nursing ResearchHighlights•

Simulation teaching provides a reference for health care providers when designing service education.

The cultural competence on nurses should be prioritized as taking caring various ethnic groups.

Nurses' positive SDM attitude and thus the quality of care provided

AbstractAims

Although medical professionals possess a positive attitude toward SDM, they lack of a complete understanding of conceptual shared decision making (SDM). Therefore, a related knowledge base must be constructed to enhance service education. We aimed to examine the effectiveness of an educational program with situational simulation video on nurses' SDM attitude.

Methods

A randomized controlled trial with single-blind study design was conducted, and permuted block randomization was employed. Participants were randomly assigned to an experimental group (n = 50) or control group (n = 50). Only the experimental group received education programs within 2 weeks, with the first covering the basic concept of SDM and the second comprising situation simulation teaching. In both groups, data were collected prior to intervention as baseline, immediately after intervention to evaluate its immediate effects, and 2 months after intervention to test the delay effect. A generalized estimating equation, subgroup analysis and descriptive statistics were used to analyse data.

Results

A significant main effect over time was discovered. Nevertheless, no significant group-time interaction was noted between the two groups after a 2-month interval. Subgroup analysis reveals that the SDM attitude scores in both the experimental and control groups increase for within group. The improvement of SDM attitude score in the experiment group was better than control group at follow test.

Concisions

The findings of this study might provide a reference for health care providers when designing service education courses to improve the execution strategies of SDM and thus the quality of care provided.

Keywords

Nurse

Shared decision-making

Simulation

Scenario

Educational videos

SDM

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