2020 Volume 40 Pages 544-552
Objective: To clarify perceptions of the current situation of the certified nurse specialists in critical care nursing (CCNS) regarding nurse participation in the shared decision-making (SDM) process for patients with advanced heart failure to make treatment choices.
Methods: Semi-structured interviews were conducted with 10 CCNS, and the obtained data were analyzed adopting a qualitatively and integrative (KJ) method.
Results: The following categories outlined the status of nurse participation in SDM: [situations faced by nurses with difficulty participating in SDM], [independent nursing approaches adopted by CCNS to promote understanding of their activities among other professionals], [promotion of advance care planning and participation in SDM among nurses], [promotion of participation in SDM among nurses addressing distress in patients with advanced heart failure], [approaches to innovate medical teams’ decision-making patterns], [support for patients who choose ventricular assist device/heart transplantation], and [support for patients who choose palliative care, rather than transplantation].
Conclusion: The CCNS recognized the current situation, where both nursing and medical team approaches are required to resolve insufficient nurse participation in SDM.
