Development and preliminary evaluation of a decision coach training module for nurses in Norway
Notice bibliographique
Résumé
Abstract Background Shared decision-making (SDM) is a collaborative patient-centred process for arriving at informed healthcare decisions. Decision coaching can help support SDM when combined with patient decision aids. As part of a meta-curriculum “Ready for SDM” for training different healthcare professionals in SDM, we developed and pilot-tested a new module designed to train nurses as decision coaches. The study assessed nurses' perceptions of a decision coach training module, focusing on its feasibility, acceptability and its role in developing decision coaching capabilities. Methods We used a two-phase approach guided by the Knowledge-to-Action Framework. In the first phase, we developed a decision coach training module. The second phase involved preliminary testing, using a descriptive design with qualitative and quantitative methods. We recruited a convenience sample of participants from two hospitals. Participants completed questionnaires at the end of Part A (classroom training). The assessment was informed by Kirkpatrick’s first three levels of educational outcomes: reaction (acceptability), learning (self-reported attitudes, intentions and confidence) and behaviour (practical application of decision coaching). A post-hoc inquiry investigated low participation in Part B of the coach training. Qualitative data underwent content analysis and quantitative data were analysed using descriptive statistics. Results The development resulted in a decision coach training comprising a Part A (6 h) on SDM and decision coaching fundamentals and a Part B (1 h) which involved practical application of decision coaching in the participants’ own practice (audio recorded) with self-appraisal and individualised feedback. In preliminary testing with 19 nurses from seven clinical departments, 90% of participants rated Part A as acceptable and relevant to practice. Only one nurse completed Part B due to reluctance to audio record coaching sessions. The most reported perceived barrier was time constraints. Key perceived facilitators identified were interprofessional collaboration, management support and additional practical training. Conclusion Decision coach training was feasible to deliver in the classroom. Participants reported Part A as acceptable and relevant to their practice. The second part, including an audio recording component, proved unfeasible. Further research should explore alternative methods for skill assessment and feedback in clinical practice. The results from this study will inform further refinement of the Norwegian Ready for SDM meta-curriculum and implementation strategies, particularly regarding the practical training components. Trial registration Retrospectively registered (14.02.2023) at ISRCTN (ISRCTN44143097).
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,016 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».