title: A Relational Approach to Implantable Cardioverter-Defibrillator Generator Replacement: An Integrative Review of the Role of Nursing in Shared Decision-Making.
abstract: BACKGROUND
  Implantable cardioverter defibrillator (ICD) implantation rates are increasing as advances in heart failure and arrhythmia management progress. Consequently, the number of ICD generator replacements is rising and ICD replacement is an opportune time for shared decision-making (SDM). Nurses should have distinct roles and responsibilities in SDM processes.
  
  
  OBJECTIVE
  To use a relational lens to localize the role of the nurse in SDM, and recommend ways in which nurses can be involved in SDM.
  
  
  METHODS
  An integrative review of 17 articles was conducted to determine the role of nurses in SDM.
  
  
  RESULTS
  Our analysis revealedfour themes that helped us articulate nurse involvement in SDM; knowledge as a basis for SDM, sharing power in the nurse-patient relationship, utilization of decisional support strategies, and communication.
  
  
  CONCLUSIONS
  Our findings support the participation of nurses in SDM. Nursing implications are offered, specifically for the management of patients facing ICD replacement.
authors.forename: Krystina B
authors.initials: KB
authors.lastname: Lewis
authors.forename: Rosalie
authors.initials: R
authors.lastname: Starzomski
authors.forename: Lynne
authors.initials: L
authors.lastname: Young
mesh_terms: D001145:Arrhythmias, Cardiac / Q000628:therapy*; D064646:Cardiovascular Nursing; D003657:Decision Making; D003661:Decision Support Techniques; D017147:Defibrillators, Implantable; D011211:Electric Power Supplies; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D024802:Nurse's Role; D010348:Patient Care Team; D010358:Patient Participation; D019919:Prosthesis Implantation