a conceptual framework for interprofessional shared decision making in home care protocol for a feasibility study一个概念性的框架interprofessional共享决策的家庭护理为可行性研究协议.pdfVIP

Légaré et al. BMC Health Services Research 2011, 11:23 /1472-6963/11/23 STUDY PROTOCOL Open Access A conceptual framework for interprofessional shared decision making in home care: Protocol for a feasibility study 1,2* 3 4 1,5 1,6 7 France Légaré , Dawn Stacey , Nathalie Brière , Sophie Desroches , Serge Dumont , Kimberley Fraser , 8 7 9 Mary-Anne Murray , Anne Sales , Denise Aubé Abstract Background: Shared decision making (SDM) is fundamental to informed consent and client-centered care. So far, SDM frameworks have been limited to the client-physician dyad, even though care is increasingly delivered by interprofessional (IP) teams. IP collaboration is especially essential in home care, one of health care’s most rapidly growing areas. This study will assess whether it is possible to practice SDM in IP home care. Methods/Design: We will use a qualitative case study and a quantitative survey to capture the macro, meso and micro levels of stakeholders in home care. The case study will follow the knowledge-to-action process framework to evaluate the work of an IP home care team at a Quebec City health center. Sources of data will include one-on- one interviews with patients, family caregivers or surrogates and significant others, and administrators; a focus group of home care health professionals; organizational documents; and government policies and standards. The interview guide for the interviews and the focus group will explore current practices and clinical problems addressed in home care; factors that could influence the implementation of the proposed IP approach to SDM; the face and content validity of the approach; and i