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188 The development of the SDM:KOMPASS to support complex shared decision-making implementation in hospitals
  1. Karina Olling1,
  2. Dorte G Hansen1,2,
  3. Lisa Korsbek3,
  4. Mette Christiansen4,
  5. Karina D Steffensen1,2,
  6. Lea Lund1,2
  1. 1Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark
  2. 2Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
  3. 3Mental Health Services, Mental Health Centre Odense, Region of Southern Denmark
  4. 4University Hospital of Southern Denmark, Aabenraa, Denmark

Abstract

Introduction Many tools and instruments are accessible for evaluating the outcomes of Shared Decision Making (SDM) interventions. However, within the realm of SDM implementation, tools to evaluate the progress of SDM implementation are lacking. This study focuses on the development of a maturity framework, named SDM:KOMPASS, designed to assist hospital departments in evaluating their SDM progress and setting goals for the implementation.

Methods A six-step development process, including testing the tool’s face and content validity, was performed. Insights were gathered through observations, individual and focus group interviews. The interviews focused on 1) the tool’s readability and clarity, 2) the construct’s domains and content, and 3) the tool’s perceived usability. A 10-item quantitative survey assessed participants’ immediate attitudes toward the tool. Employing a bottom-up strategy, the tool was subjected to a final user experience test.

Results Purposefully sampled participants (N=20), including healthcare professionals and patients, contributed with different perspectives in both interviews and survey. Analysis showed the tool was deemed understandable and useful. The user experience test confirmed this, leading to the final version of SDM:KOMPASS (figure 1).

Discussion SDM: KOMPASS serves as a self-assessment tool for healthcare professionals and managers in hospital departments, and can possibly drive sustainable change fostering a more SDM-oriented behavioral environment.

Conclusion Professionals involved in strategic implementation within hospital departments found the tool valuable and practical. The six-step development process highlighted the tool’s potential to improve manageability, goal setting, and focus on SDM implementation. While promising and useful, the tool requires careful attention due to its comprehensive nature.

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