Developing a decision support intervention regarding choice of dialysis modality.
Predialysis nurses have an important role in supporting patients who must make decisions when renal replacement therapy is needed. However, no effective interventions have been established for nurses who provide this decision support. The Ottawa Decision Support Framework provides a structure to develop such interventions, which include a patient decision aid and decision coaching.


OBJECTIVE
To propose a method for developing and implementing a decision support intervention.


RESULTS
Guided by this model, a mixed method design is proposed to develop and evaluate the intervention. The intervention includes a decision aid intended for patients and their families and training in decision coaching intended for nurses. Its development requires knowledge synthesis and a decisional needs assessment with key informants. The development of decision coaching competencies for nurses will include an interactive skill building workshop. A constructivist evaluation approach will be used to evaluate the intervention.


CONCLUSIONS
This study proposes an innovative approach to develop interventions and should contribute to improving the quality of decision-making regarding dialysis modality and to developing nurses' skills in providing decision support.
School of Nursing, University of Sherbrooke, Sherbrooke, QC. marie-chantal.loiselle@usherbrooke.ca
Marie-Chantal
MC
Loiselle
Annette M
AM
O'Connor
Cécile
C
Michaud
D002170:Canada; D003661:Decision Support Techniques; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation; D016730:Program Development; D006435:Renal Dialysis / Q000379:methods / Q000451:nursing*