SHARED DECISION MAKING a Nursing Perspective… Professor Tracey Bucknall Foundational Chair in Nursing & Director of Nursing Research Alfred Health

Undergraduate Education No standard, national approach Focus on risk management & informed consent from clinician perspective. Technical skills in simulation and clinical placements Focus on quality and patient safety – Emphasis on nurses identifying patient preferences, needs and expectations across the lifespan, diverse populations and clinical settings. – NSQHS Standards strong driver

Postgraduate Education Some specialties, such as Midwifery, Mental Health and Critical Care, have greater focus on patient/consumer/family involvement/empowerment in treatment decision making. Curriculum focus increasing on NSQHS Standards – Standard 2 Partnering with Consumers Increased focus seen in research degrees.

Key challenges (1) Three concurrent areas for curriculum development required: – knowledge (benefits of patient input, evidence); – skills (in using tools & processes/ communication/ informed consent/disclosure/negotiation/seeking opinions from consumers etc) and; – attitude (commitment to patient-centred care and respect for patient/family insight).

Key Challenges (2) Convincing educational providers of the need to prioritise early integration of patient engagement into curricula and training of health professionals. Insufficient research with focus on nurse/pt relationship and treatment effectiveness to integrate into curricula Overcoming disciplinary silos in training & practice