ArticleBMC medical informatics and decision making2017
"Provoking conversations": case studies of organizations where Option Grid™ decision aids have become 'normalized'.
Article in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Implementation and sustainability factors of two early-stage breast cancer conversation aids in diverse practices.Implementation science : IS · 2021Trial
- Trial
- What matters most: protocol for a randomized controlled trial of breast cancer surgery encounter decision aids across socioeconomic strata.BMC public health · 2018Trial
- Evaluation of the implementation of an insulin patient decision aid for patients with type 2 diabetes in an academic primary care clinic in Malaysia: a mixed method study.BMC health services research · 2025Article
- My anesthesia Choice-HF: development and preliminary testing of a tool to facilitate conversations about anesthesia for hip fracture surgery.BMC anesthesiology · 2024Article
- Article
- The decision aid is the easy part: workflow challenges of shared decision making in cancer care.Journal of the National Cancer Institute · 2023Article
- Identifying Factors to Facilitate the Implementation of Decision-Making Tools to Promote Self-Management of Chronic Diseases into Routine Healthcare Practice: A Qualitative Study.Healthcare (Basel, Switzerland) · 2023Article
- Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures.BMC medical informatics and decision making · 2023Article
- Adaptation and Implementation of Pictorial Conversation Aids for Early-Stage Breast Cancer Surgery and Reconstruction: A Quality Improvement Study.Patient preference and adherence · 2023Article
- What Works in Implementing Patient Decision Aids in Routine Clinical Settings? A Rapid Realist Review and Update from the International Patient Decision Aid Standards Collaboration.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Review
- Article
- Integrating Option Grid Patient Decision Aids in the Epic Electronic Health Record: Case Study at 5 Health Systems.Journal of medical Internet research · 2021Article
- A principal components analysis of factors associated with successful implementation of an LVAD decision support tool.BMC medical informatics and decision making · 2021Article
- Staff expectations for the implementation of an electronic health record system: a qualitative study using normalisation process theory.BMC medical informatics and decision making · 2019Article
- Investigation of factors influencing the implementation of two shared decision-making interventions in contraceptive care: a qualitative interview study among clinical and administrative staff.Implementation science : IS · 2019Article
- The "Begin Exploring Fertility Options, Risks and Expectations" (BEFORE) decision aid: development and alpha testing of a fertility tool for premenopausal breast cancer patients.BMC medical informatics and decision making · 2019Article
- Oncofertility Decision Support Resources for Women of Reproductive Age: Systematic Review.JMIR cancer · 2019Article
- Implementing an Asthma Patient Decision Aid in Primary Care: A Qualitative Study of Clinicians' and Patients' Perspectives on Its Sustainability.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplementing patient decision aids in clinic workflow has proven to be a challenge for healthcare organizations and physicians. Our aim was to determine the organizational strategies, motivations, and facilitating factors to the routine implementation of Option Grid™ encounter decision aids at two independent settings.
methodCase studies conducted by semi-structured interview, using the Normalization Process Theory (NPT) as a framework for thematic analysis. Twenty three interviews with physicians, nurses, hospital staff and stakeholders were conducted at: 1) CapitalCare Medical Group in Albany, New York; 2) HealthPartners Clinics in Minneapolis, Minnesota.
results'Coherent' motivations were guided by financial incentives at CapitalCare, and by a 'champion' physician at HealthPartners. Nurses worked 'collectively' at both settings and played an important role at sites where successful implementation occurred. Some physicians did not understand the perceived utility of Option Grid™, which led to varying degrees of implementation success across sites. The appraisal work (reflexive monitoring) identified benefits, particularly in terms of information provision. Physicians at both settings, however, were concerned with time pressures and the suitability of the tool for patients with low levels of health literacy.
conclusionAlthough both practice settings illustrated the mechanisms of normalization postulated by the theory, the extent to which Option Grid™ was routinely embedded in clinic workflow varied between sites, and between clinicians. Implementation of new interventions will require attention to an identified rationale (coherence), and to the collective action, cognitive participation, and assessment of value by organizational members of the organization.
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