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Shared decision making only works if communication is effective

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The evidence might be too complex for the patient to understand. The language used might be complex. NMC code of conduct requires that we as nurses use a language that the patient understands. Some terms cannot be simplified.

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The evidence might be too complex for the patient to understand. The language used might be complex. NMC code of conduct requires that we as nurses use a language that the patient understands. Some terms cannot be simplified.

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Health Literacy this websites mentions that patients have a low understanding 

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Health Literacy this websites mentions that patients have a low understanding 

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NHS England » Making shared decision making happen – the common challenges

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Low level in health literacy prevents some patients from understand the evidence and information given to them. (NHS England, 2021) 

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Low level in health literacy prevents some patients from understand the evidence and information given to them. (NHS England, 2021) 

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SDM-consensus-statement.pdf (nice.org.uk)
shared decision making
collaboration with organisations
recommended healthcare
education and training
decision making tools

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Medical jargon can be misunderstood

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patients may not want to participate in

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Sometimes patients being passive can be a generational thing. They may take the stance that the ‘doctor is always right’

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is the patient education consistent across the board and do we realistically have the time to deliver this education. Do we as professionals understand treatments and conditions as an expert in that field. Do we as professionals keep up with best evidence in practice? do we have time? 

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is the patient education consistent across the board and do we realistically have the time to deliver this education. Do we as professionals understand treatments and conditions as an expert in that field. Do we as professionals keep up with best evidence in practice? do we have time? 

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some patients don't like making decsions incase its being deemed the wrong choice of care for them.

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It's hard even has health professionals to understand some health language.  A doctor i was working with explained really simply to the patient about their illness and it was the best I've ever understood it.

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No evidence that patient choice in the NHS saves lives 

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No evidence that patient choice in the NHS saves lives 

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https://www.bmj.com/content/357/bmj.j1744

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https://www.bmj.com/content/357/bmj.j1744

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will it be consistent each time as things constantly change 

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will it be consistent each time as things constantly change 

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not many staff understand the concept and process of shared decision making

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this is when patient should be able to air there concerns 

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this is when patient should be able to air there concerns 

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Implementing shared decision making in the NHS: lessons from the MAGIC programme

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Implementing shared decision making in the NHS: lessons from the MAGIC programme

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Implementing shared decision making in the NHS: lessons from the MAGIC programme | The BMJ

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i think patients have a responsibility to speak up to source some forms of support or direction if it hasnot already been implimented.

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i think patients have a responsibility to speak up to source some forms of support or direction if it hasnot already been implimented.

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Sometimes patients don't want to be involved in their care and would rather go against the professionals. For example, refusing to take prescribed medications for hypertension as they think it doesn't help

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Is it a culture that is sustainable within the workforce

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Is it a culture that is sustainable within the workforce

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although it is bad practice I heard about an example of someones mum being in hospital with dementia and a DNAR was put in place without the family being aware until after the patient had died. 

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although it is bad practice I heard about an example of someones mum being in hospital with dementia and a DNAR was put in place without the family being aware until after the patient had died. 

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Supporting your shared decision making through our guidance and tools

We're working to help put it at the centre of the way care and treatment is given.

For people receiving care

The care and support you receive should be based on your needs and what matters most to you.

You have the right to be involved in decisions with your healthcare professional. You should be able to make those decisions together.

Patient decision aids support conversations and help patients make informed choices. We've developed several tools to support shared decision making for specific conditions.

Read more about making decisions about your care.

For people delivering care

We have worked with Keele University to develop an online learning package that supports the shared decision making guideline. It aims to give healthcare professionals the skills and knowledge to have conversations with the people they are caring for.

We've updated all our guidance to highlight the importance of balancing professional judgment and expertise with the needs and wishes of people receiving care.

Read more about making decisions using NICE guidelines.

Patient decision aids

PDAs help people make informed choices about healthcare. This considers their personal values and preferences.

Our process guide outlines how we develop our PDAs.

The framework is designed for people who use PDAs, whether they are patients or clinicians. It helps them determine if the quality of the PDAs is sufficient.

It includes a simple self-assessment tool for people who produce PDAs so that they can quality check their processes and products.

Shared decision making collaborative

We work with over 40 partner organisations. With them, we support the wider health and care system to put shared decision making into routine practice. The aim is to make sure that people who deliver and receive care work together to provide what matters to the individual.

Our joint recommendations to encourage a shared decision making culture can be read in our consensus statement (Word).

The organisations we work with include:

Academy of Medical Royal Colleges

Advancing Quality Alliance

General Medical Council

Health Education England

Healthwatch England

NHS England and NHS Improvement

Newcastle University

University of Leeds

To get involved or to find out more, contact our shared decision making team.

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Information and benefits about shared decision making. Includes links to patient decision aids.

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Although might be classed as Gillick competence it could be argued that they do not understand what their treatment entails

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parents should work alongside the teenager to make health decisions and not make the decision for them unless the have to

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parents should work alongside the teenager to make health decisions and not make the decision for them unless the have to

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involving children/YP within their care is important however i think you should review this by the individual due to maturity/cognitive understanding etc as especially during adolescents there is so much development occuring in terms of maturity, hormones this could impact their choices within care

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involving children/YP within their care is important however i think you should review this by the individual due to maturity/cognitive understanding etc as especially during adolescents there is so much development occuring in terms of maturity, hormones this could impact their choices within care

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Some older teenagers and young people are less independent than some 14 year olds so it's very case by case and depending on how competent and independent the individual is

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Are service users at a disadvantage with learning disabilities when it comes to SDM 

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Are service users at a disadvantage with learning disabilities when it comes to SDM 

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Also patients who do not have capacity cannot tell you what care they want! The power of attorney might not make the right decision for them!

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Does it also need to involve a level of acceptance from the patient at that stage? Would all people be ready for those conversations?

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Some patients do prefer to just be advised and in a wat told what to do, they don't always want to know the further "scary" details