Toolbox: Shared Decision Making

Resources and Tools

To show the list of resources and tools available within each category, click "Click to Expand" under the category subhead. Click on the icon to the left of the resource you wish to download or, in the case of a weblink, be taken to. You can also search our entire library of resources and tools by keyword, category or topic by going to our "Browse All' page

Algorithms

LinkFrameworks for Shared Decision-Making
Three Talk Model (Elwyn et al., 2017).

LinkFrameworks for Shared Decision-Making
Ottawa Hospital Research Institute Patient Decision Aids (O’Connor, Stacey, & Boland, 2015).

DocumentsFrameworks for Shared Decision-Making
ARHQ SHARE Approach Curriculum Tools (AHRQ, 2017).

LinkFrameworks for Shared Decision-Making
BRAIN Model (Less is More Medicine, 2016) - Worksheet.

LinkFrameworks for Shared Decision-Making
BRAIN Model (Less is More Medicine, 2016) - Blog.

LinkFrameworks for Effective Communication
Five-step Patient Interviewing (Smith, 2002).

DocumentsFrameworks for Effective Communication
LEARN Communication Model (Berlin & Fowkes, 1983).

Audit Tools

Bundles

Clinical Education/Staff Training Resources

LinkRoadmap of Labor: A Framework for Teaching About Normal Labor
Penny Simkin's Roadmap of Labor is a patient education tool that can be used to aid in decision making about care during labor.

LinkGerber Memorial Birth Plan
A template for clients to use to develop a birth plan. This can then be used by the health care team to discuss plans and support a women's choices. Created by Spectrum Health Gerber Memorial Hospital.

LinkGerber Memorial Epidural Education Form
Epidural anesthesia consent form developed by Gerber Hospital that lists in detail expected results, technique, potential risks and other considerations for a woman deciding on pain management methods during labor.

LinkVisual Aids for Labor and Birthing Positions
This website offers visual examples of positions to promote comfort in labor. Created by The Royal College of Midwives, London, England.

DocumentsComfort in Labor: How You can Help Yourself to a Normal Satisfying Childbirth (Simkin, 2007).


DocumentsLabor Comfort and Pain Decision-making Tool (Dalrymple, 2013).
This tool is one option for clients to examine their values and preferences around key labor and comfort measures, related to level of intervention/risk and effectiveness on progress of labor related to mother and to baby.

DocumentsGroopman–Spectrum's Decision-making Tool (Groopman and Hartzband, 2011).
This tool can be used to increase emphasis on clarifying parent's values and beliefs (much like what the LEARN model exemplifies) and decreases emphasis on "choices being equal options". This tool also teaches the difference in care practices among global, local, and personal perspectives around medical interventions. It is a highly effective tool in understanding one's biases and preferences, from a client, as well as a caregiver perspective. (Groopman and Hartzband, 2011, Your Medical Mind: how to Decide What is Right For You).

LinkGroopman–Spectrum's Decision-making Tool (Groopman and Hartzband, 2011).
This tool can be used to increase emphasis on clarifying parent's values and beliefs (much like what the LEARN model exemplifies) and decreases emphasis on "choices being equal options". This tool also teaches the difference in care practices among global, local, and personal perspectives around medical interventions. It is a highly effective tool in understanding one's biases and preferences, from a client, as well as a caregiver perspective. (Groopman and Hartzband, 2011, Your Medical Mind: how to Decide What is Right For You).

DocumentsQuality Patient Care in L&D: A Call to Action


DocumentsTransforming Communication and Safety Culture in Intrapartum Care: A Multi-Organization Blueprint


Improvement Stories

LinkFetal Health Surveillance: Switching to Intermittent Auscultation


LinkIncreasing Use of Intermittent Auscultation for Low-Risk Laboring Women


LinkPrenatal Shared Decision-making for Analgesia and Anesthesia


Model Policies

Patient Education

LinkChildbirth Connection: Making Informed Decisions (Childbirth Connection, 2018).


LinkPreferences for Labor and Birth: A Plan to Guide Decision Making and Inform My Care Team.
This "birth plan" used by the California Maternal Quality Care Collaborative (CMQCC) can be utilized by women to think through their options and share their preferences with their providers.

LinkShould I Try Vaginal Birth After a Past C-Section (VBAC)?
This decision aid, developed by Healthwise Staff, walks women through the decision to try for a VBAC or to schedule a repeat cesarean.

LinkShould I Have an Epidural During Childbirth?
This decision aid, developed by Healthwise Staff, walks women through the decision to have or not have an epidural during labor.

LinkThe University of Sydney, Pain Relief for Labour
This booklet, designed by the University of Sydney, helps women make informed decisions about comfort and coping during labor.

LinkCentre for Perinatal Health Services Research ECV Decision Aid Project Steering Committee


LinkOttawa Personal Decision Guide


LinkLamaze International For Parents
Lamaze International shares a number of infographics for patients to improve shared decision making and informed choices.

LinkOur Moment of Truth, Share with Women handouts


LinkIntroduction
Were you ever in a medical/health situation in which you felt that your input was not taken into consideration? How did that make you feel? Understanding your options and why you are an equal partner in decision-making regarding your care is an important first step toward physiologic birth.

Position Statements/Related Guidelines/Toolkits

LinkQuality Patient Care White Paper


DocumentsACNM Position Statement on Shared decision-making





 

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