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Table 2 MAPPIN’SDM-observer instrument [48]

From: Implementation of shared decision-making in oncology: development and pilot study of a nurse-led decision-coaching programme for women with ductal carcinoma in situ

  

Measurement unit

MAPPIN’SDM-Indicator

Description

Nurse/Physician (focuses the professional behaviour)

Patient (focuses the patient behaviour)

Dyad (takes both patient and professional behaviour into account)

Defining problem

To draw attention to an identified problem as one that requires a decision-making process

MAPPIN-Onurse1

MAPPIN-Opatient1

MAPPIN-Odyad1

SDM key message

To state that there is more than one way to deal with the identified problem

MAPPIN-Onurse2

MAPPIN-Opatient2

MAPPIN-Odyad2

Discussing the options

a) structure

To structure the discussion of the options in a way that is easy to understand and easy to remember.

MAPPIN-Onurse3a

MAPPIN-Opatient3a

MAPPIN-Odyad3a

b) content

To explain and discuss the pros and cons of the different options

MAPPIN-Onurse3b

MAPPIN-Onurse3b

MAPPIN-Odyad3b

c) EBPI

To consider the criteria of evidence-based patient information

MAPPIN-Onurse3c

MAPPIN-Opatient3c

MAPPIN-Odyad3c

Expectations and worries

To explore / discuss the patient’s expectations (ideas) and concerns (fears) about how to manage the problem

MAPPIN-Onurse4

MAPPIN-Opatient4

MAPPIN-Odyad4

Indicate decision

To open the decision stage leading to the selection of an option

MAPPIN-Onurse5

MAPPIN-Opatient5

MAPPIN-Odyad5

Follow up arrangements

To discuss plans for how to proceed

MAPPIN-Onurse6

MAPPIN-Opatient6

MAPPIN-Odyad6

Preferred communication approach

To come to an agreement on the preferred mode of information exchange

MAPPIN-Onurse7

MAPPIN-Opatient7

MAPPIN-Odyad7

Evaluation of understanding

patient

To clarify whether the patient correctly understood the information given by the nurse (clinician)

MAPPIN-Onurse8

MAPPIN-Opatient8

MAPPIN-Odyad8

nurse

To clarify whether the nurse (clinician) has correctly understood the patient’s point of view

MAPPIN-Onurse9

MAPPIN-Opatient9

MAPPIN-Odyad9

Mean score of all indicators

 

MAPPIN-Onursetotal

MAPPIN-Opatienttotal

MAPPIN-Odyadtotal