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Randomized controlled trial of the effectiveness of an intervention to implement evidence-based patient decision support in a nursing call centre.
- Source :
-
Journal of telemedicine and telecare [J Telemed Telecare] 2006; Vol. 12 (8), pp. 410-5. - Publication Year :
- 2006
-
Abstract
- We evaluated the effect of an intervention on call centre nurses' knowledge of decision support and skills in coaching callers facing value-sensitive health decisions. Forty-one registered nurses at a health call centre were randomly assigned to an intervention or control group. The intervention was a coaching protocol, online tutorial, skills building workshop and performance feedback. The main outcome measures were: knowledge test; blinded quality assessment of coaching skills during simulated calls and call duration. Compared with controls, nurses in the intervention group had better knowledge (74 versus 60%, P = 0.007) and decision coaching skills (81 versus 44%, P < 0.001), particularly in assessing decisional needs (information, values clarity, support, stage and timing of decision) and addressing support issues. Call duration did not differ (18.5 versus 16.7 min, P = 0.73). The coaching protocol was rated as compatible with nurses' views on decision-making and more advantageous compared with their usual practices. The intervention improved the quality of nurses' decision coaching without affecting call duration.
- Subjects :
- Canada
Health Knowledge, Attitudes, Practice
Humans
Patient Education as Topic methods
Patient Participation
Quality of Health Care standards
Clinical Competence standards
Decision Support Techniques
Delivery of Health Care standards
Nurses standards
Patient Education as Topic standards
Remote Consultation standards
Subjects
Details
- Language :
- English
- ISSN :
- 1357-633X
- Volume :
- 12
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Journal of telemedicine and telecare
- Publication Type :
- Academic Journal
- Accession number :
- 17227607
- Full Text :
- https://doi.org/10.1258/135763306779378663