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VOLUME 26 , ISSUE 2 ( February, 2022 ) > List of Articles

Original Article

Ottawa Decision Support Framework to Improve Iranian Nurses’ Decision Coaching Skills

Elham Shahraki Moghadam, Zahra Sadat Manzari, Hossein Rashki Ghalenow, Hajar Noori Sanchooli

Keywords : Decision coaching, Decision support, Intensive care units, Iran, Nurses

Citation Information : Moghadam ES, Manzari ZS, Ghalenow HR, Sanchooli HN. Ottawa Decision Support Framework to Improve Iranian Nurses’ Decision Coaching Skills. Indian J Crit Care Med 2022; 26 (2):199-203.

DOI: 10.5005/jp-journals-10071-24106

License: CC BY-NC 4.0

Published Online: 09-02-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Introduction: Nurses play an important role in providing decision coaching (DC) and developing informed decision-making in families of patients hospitalized in intensive care units (ICUs). Therefore, taking necessary measures to develop nurses’ DC skills is essential. The present study was conducted to analyze the application of the Ottawa Decision Support Framework (ODSF) in developing Iranian nurses’ DC skills. Methodology: In this experimental pretest-posttest study, two hospitals (Imam Reza and Shahid Kamyab hospitals) in the city of Mashhad were randomly placed in either the experimental or the control group. Based on a simple random sampling method, 60 ICU nurses were selected. For nurses in the experimental group, a 2-day workshop was conducted based on the ODSF, whereas nurses in the control group received no intervention. Using the SPSS-16 software and statistical tests of paired-samples t-test, independent-samples t-test, and Chi-square test (p <0.05), the data were analyzed. Results: Before the intervention, no difference was observed in the mean DC scores obtained by the nurses in the experimental and control groups (p = 0.891). However, after the intervention, a significant difference was observed in the mean DC scores obtained by the nurses in the experimental and control groups (p <0.001). Conclusion: The results indicated that applying the ODSF is effective in improving Iranian nurses’ DC skills. It was also indicated that the concepts presented in this framework are consistent with Iranian nurses’ cultural backgrounds. Accordingly, the application of the ODSF is offered in Iranian nurses’ continuing education programs to improve their DC skills.

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  1. Bandari R, Heravi-Karimooi M, Rejeh N, Zayeri F, Mirmohammadkhani M, Montazeri A. Translation and validation of the critical care family needs inventory. J Payesh 2013;12(1):89–97 [Persian]. DOI: 10.52547/payesh.20.4.461.
  2. Dolatyari A, Sharififar S, Zareiyan A, Tadrisi D. Family satisfaction with care in the intensive care unit: results of a multiple center study in selected military hospitals. Mil Caring Sci J 2014;1(1):18–26. DOI: 10.18869/acadpub.mcs.1.1.18.
  3. Shorofi SA, Jannati Y, Moghaddam HR. The psychosocial needs of the families of the patients admitted to intensive care units: a review of literature. J Clin Excellence 2014;3(1):46–57. Available from: http://ce.mazums.ac.ir/article-1-129-fa.html.
  4. Akbari V, Asayesh H, Haji M, Hoseini MHM, Fard FS, Shahidi M, et al. Needs of family with hospitalized infant in neonatal intensive care unit: a comparison between mothers’ and nurses’ viewpoint. Qom Univ Med Sci J 2020;14(3):10–18. DOI: 10.29252/qums.14.3.10.
  5. Sadeghi Z, Payami M, Moosavi Nasab SN. Effect of Family Participation in ICU Patients Care on Family's Anxiety level. PCNM 2013;2(2):10–17. Available from: http://zums.ac.ir/nmcjournal/article-1-45-en.html.
  6. Moghaddam ES, Manzari ZS, Motlagh ZG. The evaluation of nurse's clinical decision making in intensive care unit at the teaching hospitals of Mashhad. J Sabzevar Univ Med Sci 2017;24(2):113–107. Available from: http://jsums.medsab.ac.ir/article_962.html?lang=en.
  7. Stacey D, Kryworuchko J, Bennett C, Murray MA, Mullan S, Légaré F. Decision coaching to prepare patients for making health decisions a systematic review of decision coaching in trials of patient decision aids. J Med Decis Making 2012;32(3):22–33. DOI: 10.1177/0272989X12443311.
  8. Amiri SRJ, Zabihi A, Qalehsari MQ. Factors affecting nurses’ support of the patient and professional ethics: a review study. Islam Health J 2020;5(2):58–65. DOI: 10.4103/0300-1652.180557.
  9. Lakdizaji S, Mirsaeidi G, Ghoujazadeh M, Zamanzadeh V. Nurses participation in clinical decision-making process. Nursing and midwifery journal 2010 [cited 2022 january 07];5(17):19–25. Available from: https://www.sid.ir/en/journal/viewpaper.aspx?id=182859.
  10. Mirsaidi G, Lakdizaji S, Ghojazadeh M. How nurses participate in clinical decision-making process. J Appl Environ Biol Sci 2012;2(12):620–624. PMID: 303862704.
  11. Moghaddam ES, Manzari Z, Nabavi FH, Mazlom R. The effect of Ottawa decision support framework training in an interactive workshop with and without standardized patients on clinical decision-making of nurses in an intensive care unit. Nurs Midwifery J 2016;14(1):66–77. Available from: http://unmf.umsu.ac.ir/article-1-2313-en.html.
  12. Drake BF, Shelton R, Gilligan T, Allen JD. A church-based intervention to promote informed decision making for prostate cancer screening among African-American men. J Natl Med Assoc 2010;102(3):164–171. DOI: 10.1016/s0027-9684(15)30521-6.
  13. Murray MA, Stacey D, Wilson KG, Oconnor AM. Skills training to support patients considering place of end of life care: a randomized controle trial. J Palliat Care Med 2010;26(2):112–121. PMID: 20718396.
  14. Guimond P, Bunn H, O'Connor AM, Jacobsen MJ, Tait VK, Drake ER, et al. Validation of a tool to assess health practitioners’ decision support and communication skills. Patient Educ Couns 2003;50(3):235–245. DOI: 10.1016/s0738-3991(03)00043-0.
  15. Stacy D, Oconnor AM, Graham ID, Pomey M. Randomized controlled trial of the effectiveness of an intervention to implement evidence-based patient decision support in a nursing call centre. J Telemed Telecare 2006;12(8):410–415. DOI: 10.1258/135763306779378663.
  16. Stacey D, Chambers SK, Jacobsen MJ, Dunn J. Overcoming barriers to cancer-helpline professionals providing decision support for callers: an implementation study. Oncol Nurs Forum 2008;35(6):961–969. DOI: 10.1188/08.ONF.961-969.
  17. O'Connor AM, Jacobsen MJ. Decisional conflict: assessing and supporting patients experiencing uncertainty about decisions affecting their health. University of Ottawa; 1998. Available from: http://www.ehclients.com.
  18. Loiselle MC, O'Connor AM, Michaud C. Developing a decision support intervention regarding choice of dialysis modality. J CANNT 2011;21(3):13–18. PMID: 22013660.
  19. Kennedy A, Sculpher M, Coulter A, Dwyer N, Rees M, Abrams K, et al. Effects of decision aids for menorrhagia on treatment choices, health outcomes and costs. Journal of the American Medical Association 2002;288(21):2701–2708. DOI: 10.1001/jama.288.21.2701.
  20. Whelan T, Sawka C, Levine M, Gafni A, Reyno L, Reyno L, et al. Helping patients make informed choices: a randomized trial of a decision aid for adjuvant chemotherapy in lymph node-negative breast cancer. J Natl Cancer Inst 2003;95(8):581–587. DOI: 10.1093/jnci/95.8.581.
  21. Pyl N, Menard P. Evaluation of nurses’ perceptions on providing patient decision support with cardiopulmonary resuscitation. ISRN Nurs 2012;2012:591541. DOI: 10.5402/2012/591541.
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