000010010 001__ 10010
000010010 005__ 20240124114332.0
000010010 0247_ $$2DOI$$a10.6083/wh246s88m
000010010 037__ $$aETD
000010010 245__ $$aDevelopment of a decision aid for preoperative anxiety: a quality improvement project
000010010 260__ $$bOregon Health and Science University
000010010 269__ $$a2023
000010010 336__ $$aFinal project
000010010 502__ $$bD.N.P.
000010010 520__ $$aThis paper describes the process of developing a patient decision-aid prototype for preoperative anxiety at Doernbecher?s Children?s Hospital (DCH). There are many evidence-based interventions to manage pediatric preoperative anxiety, but there remains no uniform strategy to address this concern. Patient decision aids (PDA) are tools that promote shared-decision making (SDM) and reduce decisional conflict. This quality improvement (QI) project aimed to develop a patient decision aid, guided by the iterative process proposed by Coulter's Model, a recommended methodological framework by the International Patient Decision Aids Standards Collaborative (IPDAS). An expert panel was assembled and the Delphi Method informed the systemic process for attaining consensus on priority items to be included in the decision aid through controlled feedback stages. Our finalized PDA prototype provides information on preoperative anxiety, pharmacological and non-pharmacological options, risks, and benefits. Our team created the first parental decision aid for preoperative anxiety at DCH, and this PDA was deemed useful and acceptable by perioperative clinicians. As a result of this project, future revisions and improvements to the PDA may lead to a uniform process to facilitate SDM to support a successful child/parent separation prior to surgery at DCH.

Co-author: Katherine B. Bloodgood
000010010 650__ $$aChild$$016462
000010010 650__ $$aRisk Assessment$$030914
000010010 650__ $$aDecision Support Techniques$$017421
000010010 650__ $$aDelphi Technique$$017454
000010010 650__ $$aAnxiety$$014946
000010010 650__ $$aPreoperative Period$$038920
000010010 6531_ $$asdm
000010010 6531_ $$ashared decision making
000010010 691__ $$aSchool of Nursing$$041370
000010010 7001_ $$aPavlenko, Julia A.$$uOregon Health and Science University$$041354
000010010 8564_ $$95294209b-dd52-42aa-b1db-916b1f0f933c$$s2671775$$uhttps://digitalcollections.ohsu.edu/record/10010/files/Pavlenko.Julia.2023.pdf
000010010 905__ $$a/rest/prod/wh/24/6s/88/wh246s88m
000010010 909CO $$ooai:digitalcollections.ohsu.edu:10010$$pstudent-work
000010010 980__ $$aTheses and Dissertations