Development of a checklist for evaluation of shared decision-making in consultation for extremely preterm delivery.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Perinatology Pub Date : 2024-10-22 DOI:10.1038/s41372-024-02136-6

Michael Guindon, Dalia M Feltman, Carrie Litke-Wager, Elizabeth Okonek, Kaitlyn T Mullin, Uchenna E Anani, Peter D Murray Ii, Christopher Mattson, Jeanne Krick

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Abstract

Objective: Shared decision-making (SDM) between parents facing extremely preterm delivery and the medical team is recommended to develop the best course of action for neonatal care. We aimed to describe the creation and testing of a literature-based checklist to assess SDM practices for consultation with parents facing extremely preterm delivery.

Study design: The checklist of SDM counseling behaviors was created after literature review and with expert consensus. Mock consultations with a standardized patient facing extremely preterm delivery were performed, video-recorded, and scored using the checklist. Intraclass correlation coefficients and Cronbach's alpha were calculated.

Result: The checklist was moderately reliable for all scorers in aggregate. Differences existed between subcategories within classes of scorer, and between scorer classes. Agreement was moderate between expert scorers, but poor between novice scorers. Internal consistency of the checklist was excellent (Cronbach's alpha = 0.93).

Conclusion: This novel checklist for evaluating SDM shows promise for use in future research, training, and clinical settings.

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为评估极度早产咨询中的共同决策制定一份核对表。

目的：建议面临极度早产的父母与医疗团队共同决策（SDM），以制定新生儿护理的最佳方案。我们旨在介绍基于文献的核对表的创建和测试情况，以评估与面临极早产的父母进行协商的 SDM 实践：研究设计：SDM 咨询行为核对表是在文献综述和专家共识的基础上创建的。对面临极度早产的标准化患者进行模拟咨询、录像，并使用核对表进行评分。计算了类内相关系数和克朗巴赫α：结果：对所有评分者而言，核对表的总体可靠性为中等。评分员类别内的子类别之间以及评分员类别之间存在差异。专家评分员之间的一致性一般，但新手评分员之间的一致性较差。核对表的内部一致性非常好（Cronbach's alpha = 0.93）：这份新颖的 SDM 评估核对表有望在未来的研究、培训和临床环境中使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.