Shared decision making 

Shared decision making (NHS England) 

https://www.england.nhs.uk/shared-decision-making/ 

Shared decision making (SDM) ensures that individuals are supported to make decisions that are right for them.  It is a collaborative process through which a clinician supports a patient to reach a decision about their treatment.

The conversation brings together:



A three-talk model for shared decision making: multistage consultation process

BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4891 (Published 06 November 2017)

Cite this as: BMJ 2017;359:j4891

https://www.bmj.com/content/359/bmj.j4891 

A three-talk model for shared decision making: multistage consultation processObjectives  To revise an existing three-talk model for learning how to achieve shared decision making, and to consult with relevant stakeholders to update and obtain wider engagement. Design  Multistage consultation process. Setting  Key informant group, communities of interest, and survey of clinical specialties. Participants  19 key informants, 153 member responses from multiple communities of interest, and 316 responses to an online survey from medically qualified clinicians from six specialties. Results  After extended consultation over three iterations, we revised the three-talk model by making changes to one talk category, adding the need to elicit patient goals, providing a clear set of tasks for each talk category, and adding suggested scripts to illustrate each step. A new three-talk model of shared decision making is proposed, based on “team talk,” “option talk,” and “decision talk,” to depict a process of collaboration and deliberation. Team talk places emphasis on the need to provide support to patients when they are made aware of choices, and to elicit their goals as a means of guiding decision making processes. Option talk refers to the task of comparing alternatives, using risk communication principles. Decision talk refers to the task of arriving at decisions that reflect the informed preferences of patients, guided by the experience and expertise of health professionals. Conclusions  The revised three-talk model of shared decision making depicts conversational steps, initiated by providing support when introducing options, followed by strategies to compare and discuss trade-offs, before deliberation based on informed preferences.

A presentation 

Shared decision making

Use BRAN for shared decision making 

On BRAN 


COVID vaccination

Related Ideas