Development, pilot, and evaluation of a decision support intervention that uses real-time feedback of patients’ experience of shared decision-making to change patient and professional decision-making processes before adult elective surgery and to improve patient and health service outcomes

niversity of Bristol0 个研究点目标入组 130 人开始时间: 2023年7月11日最近更新: 2024年1月29日

试验速览

2024 Protocol article in https://doi.org/10.1136/bmjopen-2023-079155 (added 19/01/2024)

•All patients over the age of 18 years who have been booked for planned vascular, gastrointestinal, urological, neurosurgical, gynaecological, breast, cardiac and orthopaedic surgical procedures at participating hospitals will be eligible to participate.
•Healthcare professionals working in participating Trusts will be eligible for inclusion. Specifically, this includes professionals that
•1. Booked eligible patients for surgery
•2. Are involved in SDM discussions with eligible patients
•3. Have overall responsibility for eligible patients’ care
•Professional participants may include surgeons, anaesthetists, nurses, perioperative care physicians and allied health professionals.
•Members of the wider community over the age of 18 years will be eligible to take part. Included will be people who are disproportionately affected by poor SDM and outcomes of surgery: those that are economically disadvantaged, from minority ethnic groups, and in older age. Ethnicity is expected to focus on British Asian/South Asian populations as the most common minority group in the UK, however, this will be informed in discussions with stakeholders and patient and public representatives.

•1. Patients under the age of 18 years
•2. Without capacity to consent for medical procedures
•3. Undergoing unplanned (emergency) surgery or endoscopic procedures
•There are no specified exclusion criteria for healthcare professional participants or members of the wider community

发起方

niversity of Bristol