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Eliciting Patient Treatment Preferences: A Strategy to Integrate Evidence‐Based and Patient‐Centered Care
Author(s) -
Sidani Souraya,
Epstein Dana,
Miranda Joyal
Publication year - 2006
Publication title -
worldviews on evidence‐based nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.052
H-Index - 49
eISSN - 1741-6787
pISSN - 1545-102X
DOI - 10.1111/j.1741-6787.2006.00060.x
Subject(s) - operationalization , psychological intervention , relevance (law) , context (archaeology) , evidence based practice , quality (philosophy) , evidence based medicine , process management , management science , medicine , psychology , nursing , alternative medicine , business , engineering , paleontology , philosophy , epistemology , pathology , political science , law , biology
Background: The integrated patient‐centered evidence‐based approach to care is integral to guide practice and enhance the quality of care. In this paper, a strategy to operationalize the integrated approach is described. Description of strategy: The strategy flows from the processes used to synthesize the best available evidence for interventions that address a clinical problem, and to elicit patient preferences for treatment options, which is an important step in patient‐centered care. The strategy consists of three phases: (1) synthesis of evidence about the effectiveness and relevance of interventions derived from research and practice; (2) generation of written material describing the nature, dose, effectiveness, and risks associated with the evidence‐based interventions; and (3) using the written descriptions to elicit patient preferences. Examples from an ongoing study are presented to illustrate the implementation of the strategy within the context of research. Implications: Nurses are invited to apply the strategy in practice and to evaluate its feasibility and utility in enhancing the quality of care.