Chapter 9 – Evidence-Based Practice Questions
This activity contains 3 questions.
Evidence for Effective Leadership and Management
Citation: Fowler, F., Levin, C., & Sepucha, K. (2011). Informing and involving patients
to improve the quality of medical decisions. Health Affairs, 30(4), 699–706.
Overview: Quality care requires both use of appropriate and effective procedures,
treatments, and diagnostic tests, but also should involve a well-informed patient to
support patient-centered care. The patient is not always given the option to participate in
decision making and may not be informed enough to do so. There need to be more
incentives for providers to ensure that the patient is informed and participates if the
patient chooses to do so. This article looks at methods and tools used to meet this
important goal.
Application: Shared decision making must be part of effective care. To accomplish this,
healthcare providers need more information about patient understanding and how to
integrate the patient into decision making. With the growing use of healthcare
technology, there are many more methods for accomplishing this goal.
1.
What is known about obtaining information about the patient’s knowledge and desire to
participate in decision making?
2.
How is the Affordable Care Act related to this topic?
3.
What are some common patient surveys that are used in healthcare to get patient
feedback?
1.
[Answers may vary]
Shared decision making recognizes that medical decisions require interaction between
patients and their doctors; that decisions be informed by the best available clinical
evidence; and that decisions reflect the individual patient’s well-considered goals and
2.
[Answers may vary]
Shared decision making is among the delivery system reforms included within the new
Center for Medicare and Medicaid Innovation, which was authorized under section 3021
Finkelman, Leadership and Management for Nurses: Core Competencies for Quality Care, 3e
3.
[Answers may vary]
The most promising mechanisms for measuring the quality of the decision-making
process are the surveys conducted as part of the Consumer Assessment of Healthcare
Providers and Systems (CAHPS). These are standardized surveys of patients’ experiences
Finkelman, Leadership and Management for Nurses: Core Competencies for Quality Care, 3e