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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (5): 35-40.doi: 10.16460/j.issn1008-9969.2019.05.035

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Development of Decision Aid with Ottawa Decision Support Framework for Patients with Implantable Cardioverter Defibrillator

SHI Run-ze1, HAO Yun-xia, FAN Xiu-yun, ZHANG Shu-yan, LI Zheng1, KANG Xiao-feng1   

  1. 1. School of Nursing, Peking Union Medical College, Beijing 100144, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China
  • Received:2018-11-09 Published:2020-07-14

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Abstract: Objective To develop a Patient Decision Aid (PtDA) moderating treatment-related uncertainty and helping patients with implantable cardioverter defibrillators (ICDs) to make well-informed decisions. Methods Development of the PtDA was guided by The Ottawa Decision Support Framework (ODSF) and International Patient Decision Aid Standards (IPDAS) quality criteria. After literature analysis, we formulated the draft of PtDA and a revised version was developed after 2-rounds expert consultation. The assessment of the revised PtDA was conducted among patients with ICD and their families and then the final version of PtDA was formed. Results The initial version of PtDA included 6 first-level and 38 second-level indicators. The authority coefficient of two-round expert consultation was 0.91 and coordination coefficient was 0.154 and 0.161 respectively. Tool acceptance testing showed that PtAD was acceptable and practical. The final PtDA consisted of 7 first-level indicators including decision needs assessment, information providing, pros and cons analysis, value clarification, support system, decision-making orientation, and decision confirmation and 41second-level indicators. Conclusion Being scientific and practical, PtAD is the combination of best clinical evidence and patient value, which provides a strategy for problems and difficulties in the decision-making process of ICD patients.

Key words: implantable cardioverter defibrillators, patient decision aid, evidence transformation, shared decision-making

CLC Number: 

  • R473.54
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