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‘MY KIDNEYS, MY CHOICE, DECISION AID’: SUPPORTING SHARED DECISION MAKING
Author(s) -
Fortnum Debbie,
Smolonogov Tatiana,
Walker Rachael,
Kairaitis Luke,
Pugh Debbie
Publication year - 2015
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12100
Subject(s) - medicine , multidisciplinary approach , kidney disease , dialysis , decision support system , nephrology , multidisciplinary team , intensive care medicine , medical education , management science , nursing , computer science , artificial intelligence , engineering , sociology , social science
SUMMARY Background For patients with chronic kidney disease (CKD) who are progressing to end‐stage kidney disease (ESKD) a decision of whether to undertake dialysis or conservative care is a critical component of the patient journey. Shared decision making for complex decisions such as this could be enhanced by a decision aid, a practice which is well utilised in other disciplines but limited for nephrology. Methods A multidisciplinary team in Australia and New Zealand (ANZ) utilised current decision‐making theory and best practice to develop the ‘My Kidneys, My Choice’, a decision aid for the treatment of kidney disease. Results A patient‐centred, five‐sectioned tool is now complete and freely available to all ANZ units to support the ESKD education and shared decision‐making process. Distribution and education have occurred across ANZ and evaluation of the decision aid in practice is in the first phase. Conclusions Development of a new tool such as an ESKD decision aid requires vision, multidisciplinary input and ongoing implementation resources. This tool is being integrated into ANZ, ESKD education practice and is promoting the philosophy of shared decision making.