Introduction Shared Decision-Making
For older people, you ask the five preparatory questions before the first step of making decisions together. Shared decision-making makes it clear that there is a choice and that the client’s opinion is important for the choice of goals and interventions. Buurman’s model largely corresponds to the steps of joint decision-making. The goals are discussed together with the client in Step 3 and the interventions in Step 5.
The introductory questions are
De introductie vragen zijn:
- What does it mean to you to get older?
- Are you worried?
- What do you think it will be like in the future?
- What do you think it takes to grow older as healthily as possible?
- What is quality of life for you?
A client’s confidence in their own abilities (self-efficacy) helps in making decisions together. If clients have more confidence in their own abilities, they are more involved in joint decision-making. Cultural background, health behaviour and character also play a role. These differences require attention and flexibility from healthcare professionals. Older people more often leave the choices to healthcare professionals than younger people do.
Bron:
Pel R. & Bakker A. (2022) Samen beslissen in het verpleegkundig domein, Kadernotitie Vilans & V&VN, Utrecht
https://kennisbundel.vilans.nl/zelfmanagement-samen-beslissen.html
Bron: Pel R. (2020) Shifting from “What is the matter?” to “What matters to you?” AMC-UVA
Stappenplan – samen beslissen met ouderen (vilans.nl)