title: Personalised Multi-Criterial Online Decision Support for Siblings Considering Stem Cell Donation: An Interactive Aid.
abstract: Person-centred decision support combines the best available information on the considerations that matter to the individual, with the importance the person attaches to those considerations. Nurses and other health professionals can benefit from being able to draw on this support within a clinical conversation. A case study and storyline on four siblings facing a transplant coordinator's call to donate stem cells to their brother [1] is 'translated' and used to demonstrate how an interactive multi-criteria aid can be developed for each within a conversational mode. The personalized dialogue and decision aid are accessible online for interaction. Each sibling's decision exemplifies the communication including physical and psychosocial complexities within any decision cascade from call-to-test and to donate, if compatible. A shared template can embrace the informational and ethical aspects of a decision. By interactive decision support within a clinical conversation, each stakeholder can gain a personalised opinion, as well as increased generic health decision literacy [2].
authors.affiliation: OUH Svendborg Hospital.
authors.forename: Mette Kjer
authors.initials: MK
authors.lastname: Kaltoft
authors.affiliation: University of Sydney.
authors.forename: Glenn
authors.initials: G
authors.lastname: Salkeld
authors.affiliation: University of Sydney.
authors.forename: Jack
authors.initials: J
authors.lastname: Dowie
mesh_terms: D000066491:Clinical Decision-Making / Q000941:ethics* / Q000379:methods; D003657:Decision Making / Q000941:ethics; D020000:Decision Support Systems, Clinical / Q000941:ethics / Q000458:organization & administration*; D004993:Ethics, Nursing; D009730:Nursing Assessment / Q000941:ethics / Q000379:methods; D018802:Patient-Centered Care / Q000941:ethics; D035781:Siblings; D033581:Stem Cell Transplantation / Q000941:ethics*; D014019:Tissue Donors / Q000941:ethics*