Shared decision-making (NICE Guideline, 17 June 2021)

The new NICE shared decision-making guideline provides comprehensive recommendations on integrating shared decision-making into everyday care across all healthcare settings. Here are some of the key topics covered:

  1. Training for Healthcare Professionals: Emphasizes the need for training to enhance skills in shared decision-making.

  2. Communicating Risks, Benefits, and Consequences: Guides on effectively communicating with patients about their treatment options.

  3. Using Decision Aids: Promotes the use of tools that can assist patients in making informed decisions.

  4. Embedding Shared Decision-Making in Organizational Culture: Recommends strategies to integrate shared decision-making into healthcare practices and culture.

Recommendations for Effective Implementation

  • Providing Resources in Preferred Formats:

  • Offer printouts summarizing the diagnosis, treatment options, and decisions made.

  • Include links to high-quality online resources.

  • Ensure these materials are given to the patient to take away or shortly after the discussion.

  • Follow-Up Information:

  • Ensure patients have contact details for further questions after discussions.

  • Writing Clinical Letters:

  • Following the Academy of Medical Royal Colleges' guidance, address clinical letters to patients.

  • Send copies of the letters to both the patient (unless they opt out) and the relevant healthcare professional.

  • Support for Those Needing Extra Help:

  • Provide additional support to patients who need extra help engaging in shared decision-making.

  • Options include encouraging them to record the discussion, providing written explanations of decisions, or arranging follow-up by clinical staff or suitable alternatives.

Enhancing Engagement and Clarity

To make the guideline more engaging and clear:

  1. Highlight Key Points: Use bullet points, subheadings, and bold text to emphasize important information.

  2. Use Plain Language: Ensure the text is easy to read and jargon-free.

  3. Provide Examples: Include real-life examples or case studies to illustrate how the recommendations can be applied.

  4. Visual Aids: Incorporate charts, diagrams, or infographics to visually represent key concepts.

  5. Feedback Mechanism: Offer patients and healthcare professionals a way to provide feedback on the implementation of the guideline.

By following these recommendations, healthcare professionals can effectively incorporate shared decision-making into their practice, improving patient outcomes and satisfaction.

https://www.pslhub.org/learn/patient-engagement/shared-decision-making-nice-guideline-17-june-2021-r4761/

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