ArticleBMC health services research2018
Development of a conversation approach for practice nurses aimed at making shared decisions on goals and action plans with primary care patients.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Fostering Patient Choice Awareness and Presenting Treatment Options Neutrally: A Randomized Trial to Assess the Effect on Perceived Room for Involvement in Decision Making.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Beyond Lip Service: A Position Paper to Truly Stimulate Shared Decision-Making.Journal of advanced nursing · 2026Article
- Improving adherence to oral nutritional supplements in clinical practice: a practice pattern for a holistic person-centred approach.BMJ nutrition, prevention & health · 2025Article
- Nurses' perspectives on the use of telemonitoring in the management of people with diabetes and hypertension.Revista brasileira de enfermagem · 2025Article
- Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care.PEC innovation · 2024Article
- Mapping a comprehensive assessment tool to a holistic definition of health for person-centred care planning in home care: a modified eDelphi study.BMC health services research · 2023Article
- Successes and challenges towards improving quality of primary health care services: a scoping review.BMC health services research · 2023Article
- Implementation of best practice goal-setting in five rehabilitation services: A mixed-methods evaluation study.Journal of rehabilitation medicine · 2023Article
- Nurses' perspective on their involvement in decision-making about life-prolonging treatments: A quantitative survey study.Journal of advanced nursing · 2022Review
- Article
- Segmentation of health-care consumers: psychological determinants of subjective health and other person-related variables.BMC health services research · 2020Article
- Training in health coaching skills for health professionals who work with people with progressive neurological conditions: A realist evaluation.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Sharing responsibility: municipal health professionals' approaches to goal setting with older patients with multi-morbidity - a grounded theory study.BMC health services research · 2020Article
- Proposal for a Framework to Enable Elicitation of Preferences for Clients in Need of Long-Term Care.Patient preference and adherence · 2020Article
- Perspectives on goal setting: Video-reflexive ethnography with speech-language therapists and clients.International journal of language & communication disordersArticle
- Feasibility study of the Digital Patient Benefit Assessment Scale (P-BAS): A Digital Tool to Assess Individual Patient Goals.Gerontology & geriatric medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundPrimary care nurses play a crucial role in setting personal goals and action plans together with chronically ill patients. This may be a challenge for practice nurses, who are often trained to adopt protocol-based work routines. The aim of this study was to systematically develop a conversation approach, and a corresponding training course, for practice nurses aimed at making shared decisions about goals and actions with their chronically ill patients.
methodsThe 6-step iterative Intervention Mapping protocol was used as a framework. This paper describes the first four steps of the protocol. After the first step, in which literature studies as well as qualitative studies were conducted, the overall aim and objectives for the approach were formulated (step 2). In step 3, methods and strategies for the approach were chosen, which were translated into practical components in step 4. In addition, a pilot study was conducted.
resultsThe main objectives of the approach focus on the ability of practice nurses to explore the patients' perspectives from a holistic point of view, to explicitly formulate goals and action plans, to tailor shared decision making about goals and action plans to individual patients, and to continuously reflect on work-related attitudes. The approach consists of a practical framework for shared decision making about goals and actions. The framework involves a tool for exploring patients' perspectives and a tool for identifying patient profiles, to facilitate tailoring shared decision making. A comprehensive training course for practice nurses was developed.
conclusionWe systematically developed a conversation approach, involving a practical framework with several tools, which aims to support practice nurses in making shared decisions about goals and actions with their patients. As practice nurses need support in their learning process to be able to share decisions with patients, we also developed a comprehensive training course for them. The approach and the training course were developed in close collaboration with important stakeholders. Some critical factors for the implementation of the approach were revealed. These factors will be addressed in the next step, a process evaluation (not part of this paper).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.