Buur, LE, Bekker, HL orcid.org/0000-0003-1978-5795, Mathiesen, CL et al. (4 more authors) (Cover date: December 2023) Decision coaching for people with kidney failure: a case study. Journal of Renal Care, 49 (4). pp. 220-228. ISSN 1755-6678
Abstract
Background
Little is known about the usefulness of decision coaching for people with kidney failure facing decisions about end-of-life care.
Objectives
To investigate experiences of people with kidney failure who received decision coaching for end-of-life care decisions.
Design
We conducted a prospective case study bound by time (September to December 2021), location (one nephrology department), and guided by the Ottawa Decision Support Framework.
Participants
Adults with kidney failure facing end-of-life care decisions.
Measurements
A nurse trained in decision coaching screened for unmet decisional needs with the SURE test and provided decision coaching using the Ottawa Personal Decision Guide. Postcoaching, the participants were rescreened using the SURE test and interviewed to explore their experience with decision coaching. Change in SURE test findings was analysed descriptively and systematic text condensation was used for the analysis of interviews. Recorded decision coaching sessions underwent content analysis using the Decision Support Analysis Tool.
Results
Decision coaching was provided to four adults with kidney failure. Median pre-SURE test score was 2.5 (range 2–4) and posttest score was 3 (range 3–4), indicating a decrease in decisional needs. Participants described that decision coaching provided an overview of features of options to consider, identified remaining decisional needs for further discussion with relatives and health professionals and clarified next steps. Median Decision Support Analysis Tool score was 9 (range 8–9).
Conclusions
After decision coaching, results suggest that the participants experienced fewer decisional needs and seemed clearer about the next steps in the decision making process.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 The Authors. Journal of Renal Care published by John Wiley & Sons Ltd on behalf of European Dialysis & Transplant Nurses Association/European Renal Care Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | chronic kidney disease; decision coaching; end-of-life care; health professionals; skills |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 25 Jan 2023 13:08 |
Last Modified: | 11 Dec 2024 16:05 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/jorc.12459 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:195601 |