Interprofessional Shared Decision Making in the NICU: A Survey of an Interprofessional Healthcare Team

Authors

  • Sandra Dunn University of Ottawa Queen's University Champlain Maternal Newborn Regional Program (CMNRP) Better Outcomes Registry and Network (BORN Ontario)
  • Betty Cragg University of Ottawa
  • Ian D. Graham University of Ottawa Canadian Institutes of Health Research
  • Jennifer Medves Queen's University
  • Isabelle Gaboury Université de Sherbrooke

DOI:

https://doi.org/10.22230/jripe.2013v3n1a91

Keywords:

Interprofessional, Shared decision making, Collaboration, Intensive care

Abstract

Background: The purpose of this study was to determine how different membersof an interprofessional (IP) team (nurses, physicians, respiratory therapists, and other professionals) perceived collaboration and satisfaction with the decisionmaking process across three decision types (triage, chronic condition management, values-sensitive decisions) in a neonatal intensive care unit (NICU).

Methods and Findings: All members of the team at a tertiary NICU in Canada who consented to the study received a modified version of the Collaboration and Satisfaction about Care Decisions (CSACD) instrument. A total of 96 completed surveys were returned (response rate of 81.4). Collaboration scores were calculated
for each participant, professional group, and the IP team. The Pearson product-moment correlation coefficient was used to investigate the relationship between perceived collaboration about decision making and satisfaction with the decision-making process. Inter-group comparisons across different decision types were also calculated. The majority of statistically significant differences in professional perspectives about decision making were about triage decisions. Nurses and respiratory therapists were more likely than other groups to feel the decision-making process was inadequate. There was a strong, positive correlation between perceived collaboration in decision making, satisfaction with the decision-making process, and satisfaction with the decision.

Conclusions: Findings from this survey suggest that healthcare professionals' views differ about what constitutes optimum interprofessional shared decision making(IPSDM), and the decision type is an important influencing factor for IPSDM.


Author Biographies

Sandra Dunn, University of Ottawa Queen's University Champlain Maternal Newborn Regional Program (CMNRP) Better Outcomes Registry and Network (BORN Ontario)

Sandra Dunn is a Perinatal Consultant for the Champlain Maternal Newborn Regional Program (CMNRP) in Ottawa and a Research Coordinator for The Better Outcomes Registry and Network (BORN Ontario). Sandra’s clinical background includes both neonatal and adult intensive care nursing. Sandra graduated with her BNSc from Queen’s University and her MEd and MScN from the University of Ottawa, School of Nursing. She completed her PhD in Nursing (Knowledge Translation and Decision Support stream) at the University of Ottawa. Her research interests include interprofessional shared decision making, knowledge translation, and use of data to enhance quality care and improve outcomes.

The primary author (SD) received funding for her doctoral studies from the Canadian Institutes of Health Research (CIHR) – Canada Graduate Scholarship (Doctoral Research Award). Operating funds to support this study were a component of this award.

 

Betty Cragg, University of Ottawa

Professor, School of Nursing, University of Ottawa

Ian D. Graham, University of Ottawa Canadian Institutes of Health Research

Vice-President, Knowledge Translation and Public Outreach

Canadian Institutes of Health Research

Jennifer Medves, Queen's University

Associate Dean (Health Sciences) and Director, School of Nursing

Queen's University

Isabelle Gaboury, Université de Sherbrooke

Assistant Professor, Department of Family Medicine

Université de Sherbrooke

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Published

2013-03-27

Issue

Section

Articles: Empirical Research