DRIVER DIAGRAM POSTS
Management
Data to be analysed
Resources already in place?
How to improve public awareness of RM and change culture and expectations
Systems
WHAT WILL YOU TAKE AWAY?
WHAT ARE YOU MOST PROUD OF?
HOW CAN WE ENSURE THAT THE 5 QUESTIONS – STYLE APPROACH WE USE IS WELL EVIDENCED?
WHAT KIND OF EVALUATION COULD TAKE PLACE TO ENSURE WE FIND THE BEST VERSION OF THE 5 QUESTIONS FOR SCOTLAND
Patient Reported Outcomes please
TACTICS
How ? Methods
THINK! | · Pause
· Rewind and summarise · Slow it down · “Balcony” |
REFLECT | · Listen
· Acknowledge their point · Acknowledge their feelings |
REFRAME | · Yes and ask for their advice
· Problem solving questions · What if? |
WHAT EVIDENCE IS AVAILABLE ON SDM?
ENCOURAGING | ||
Cosy
Superficial |
Reward
Learning |
|
Avoiding | Directing | |
Disengaged | Stressful
Anxious |
|
Discouraging |
LACK OF CONFIDENCE
WHAT WORK IS GOING ON TO SUPPORT SDM?
WHAT ARE SOME OF THE BARRIERS TO PRACTISING SHARED DECISION MAKING AND HOW MIGHT THEY BE OVERCOME? (barriers: patient/system/clinician)