Healthcare professional education in shared decision making in the context of chronic kidney disease: A Scoping Review

Journal article

Meijers, B, Wellekens, K, Montomoli, M, Altabas, K, Geter, J, McCarthy, K, Lobbedez, T, Kazancioglu, R and Thomas, N. (2023). Healthcare professional education in shared decision making in the context of chronic kidney disease: A Scoping Review. BMC Nephrology. 24, p. 195. https://doi.org/10.1186/s12882-023-03229-8
AuthorsMeijers, B, Wellekens, K, Montomoli, M, Altabas, K, Geter, J, McCarthy, K, Lobbedez, T, Kazancioglu, R and Thomas, N.
Abstract

Rationale & Objective: Shared decision making (SDM) is a collaborative effort between healthcare professionals, individuals with CKD whereby clinical evidence, expected out-comes and potential side-effects are balanced with individual values and beliefs to provide the best mutually decided treatment option. Meaningful SDM is supported by effective train-ing and education We aimed to identify the available evidence on SDM training and educa-tion of healthcare professionals caring for people with chronic kidney disease. We aimed to identify existing training programs and to explore what means are used to evaluate the quality and effectiveness of these educational efforts.
Methodology: We performed a scoping review to study the effectiveness of training or edu-cation about shared decision making of healthcare professionals treating patients with kid-ney disease. EMBASE, MEDLINE, CINAHL and APA PsycInfo were searched.
Results: After screening of 1190 articles, 24 articles were included for analysis, of which 20 were suitable for quality appraisal. These included 2 systematic reviews, 1 cohort study, 7 qualitative studies, and 10 studies using mixed methods. Study quality was varied with high quality (n= 5), medium quality (n= 12), and low quality (n= 3) studies. The majority of studies (n= 11) explored SDM education for nurses, and physicians (n= 11). Other HCP profiles in-cluded social workers (n= 6), dieticians (n= 4), and technicians (n= 2). Topics included educa-tion on SDM in withholding of dialysis, modality choice, patient engagement, and end-of-life decisions.
Limitations: We observed significant heterogeneity in study design and varied quality of the data. As the literature search is restricted to evidence published between January 2000 and March 2021, relevant literature outside of this time window has not been taken into ac-count.
Conclusions: Evidence on training and education of SDM for healthcare professionals taking care of patients with CKD is limited. Curricula are not standardized, and educational and training materials do not belong to the public domain. The extent to which interventions have improved the process of shared-decision making is tested mostly by pre-post testing of healthcare professionals, whereas the impact from the patient perspective for the most part remains untested.
 

Year2023
JournalBMC Nephrology
Journal citation24, p. 195
PublisherBMC
ISSN 1471-2369
Digital Object Identifier (DOI)https://doi.org/10.1186/s12882-023-03229-8
Publication dates
Print29 Jun 2023
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Accepted02 Jun 2023
Deposited08 Jun 2023
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