Journal article
Development of Worksheets for Immunomodulator Shared Decision-Making to Facilitate Patient-Clinician Communication: A Quality Improvement Project Employing Design Thinking Principles
Journal of clinical rheumatology, Vol.30(8), pp.345-351
12/2024
DOI: 10.1097/RHU.0000000000002155
PMID: 39475483
Abstract
Shared decision-making (SDM) is a principle of humanistic, patient-centered health care within the field of rheumatology. However, clear communication between patients and their clinicians regarding the benefits and risks of immunomodulators may be challenging in a clinical setting. The design-thinking process is a human-centered approach to quality improvement that can help to identify insights to uphold high-quality communication.
The development process adhered to the Stanford design thinking process framework, encompassing 5 stages: (1) empathize, (2) define, (3) ideate, (4) prototype, and (5) test. During the empathy stage, quality improvement members spent 4 hours immersed in the clinical setting observing how patients and clinicians engage in SDM conversations. These observations were augmented by unstructured debriefing sessions to better understand the needs and drivers of high-quality SDM. Following this, a rapid ideation workshop was convened to generate creative solutions. These led to rapid prototyping and testing, yielding a final product.
The iterative design process identified 4 critical needs: (1) ensuring comprehensibility of materials, (2) upholding accuracy of information, (3) balancing standardization with individualization, and (4) promoting retention of knowledge. During the rapid ideation workshop, the concept of a Worksheet for Immunomodulator Shared Decision-Making (WISDM) was introduced and selected for further elaboration. This led to the creation of 5 prototypes for methotrexate, which were subsequently tested. These were reconciled and modified to make a final product.
The WISDM template contains 7 elements that support SDM. Forty-five WISDMs were created for 23 immunomodulators. Further investigation will focus on how WISDMs exactly impact SDM.
Details
- Title: Subtitle
- Development of Worksheets for Immunomodulator Shared Decision-Making to Facilitate Patient-Clinician Communication: A Quality Improvement Project Employing Design Thinking Principles
- Creators
- Bharat Kumar - University of IowaAyesha Iftekhar - University of IowaRuoning Ni - University of Iowa, Internal MedicineAlick Feng - University of Iowa, Internal MedicineGatr-Alnada Gheriani - Iowa City VA Health Care SystemIbiyemi Oke - University of IowaAmir Abidov - University of IowaLindsay Moy - University of IowaCraig T Morita - University of IowaKristina Cobb - Iowa City Veterans Affairs Health Care SystemErica Sigwarth - Iowa City VA Health Care SystemMelissa Swee - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of clinical rheumatology, Vol.30(8), pp.345-351
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS; PHILADELPHIA
- DOI
- 10.1097/RHU.0000000000002155
- PMID
- 39475483
- ISSN
- 1536-7355
- eISSN
- 1536-7355
- Language
- English
- Electronic publication date
- 10/30/2024
- Date published
- 12/2024
- Academic Unit
- Nephrology; Immunology; Internal Medicine
- Record Identifier
- 9984740954402771
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