«DECISION COACHER»: CONTINUOUS PROFESSIONAL EDUCATION PROGRAM DEVELOPMENT

• Yulia A. Zuenkova

Abstract

Shared decision–making is one of the criteria for the quality of medical care abroad. Professional patients’ coaching by healthcare specialists allows to increase patients’ engagement, commitment and treatment satisfaction. Training programs for «patient mentors» are included in residency courses and additional professional education abroad. At the moment, there are no such programs in Russia, as well as the practice of shared decision-making.

The aim – to analyze educational programs, evaluate methodological approaches, develop a program of additional professional education, adapting it to Russian practice.

Material and methods. Historical method, analysis of foreign standards and protocols, content analysis of literature in PubMed. Based on the synthesis of information, foreign practices, key provisions of the educational program were developed. The professional standard «nursing» was used as a base.

Results. There are four models of decision-making coaching guidelines. The results of educational coaching programs can be evaluated indirectly by patients’ engagement, increasing their level of responsibility. Nursing staff are preferable as a patient coacher as it helps to increase their social status and reduce the burden on a doctor. Mandatory blocks of all programs are: patient’s narratives, study of models of decision-making, development of communication skills, principles of familiarizing patients with the evidence-based approach in medicine, assessment of patients’ willingness to participate in the choice of a treatment method, use of decision support tools.

Conclusion. The training of «patient mentors» is a new vector for the development of continuous nursing education. The approach of shared decision-making on treatment is currently not implemented in Russian medical practice due to the lack of standards. The development of a program of additional professional education for secondary medical stuff makes it possible to take the first step towards patient-centered approaches of “doctor–patient” interaction.

Keywords:value-based healthcare; continuous medical education; decision aids; shared decision making; decision coaching; decision support techniques; doctor-patient communication; patient orientation

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