Shared Decision-Making in Heart Failure.

Abstract

Background: Pulmonary artery (PA) pressure can be monitored remotely by a microelectromechanical sensor permanently implanted in the PA. This allows fluid overload in heart failure to be managed in a more timely manner. Objective: This study aimed to explore patient and provider perceptions of shared decision-making (SDM) for the cardio-microelectromechanical system PA pressure monitoring device. Methods: A convenience sample of eight patient-provider dyads at an academic cardiology clinic completed the SDM questionnaire in the clinic before the procedure. Results: The majority of providers reported complete agreement that SDM occurred. Patients' survey responses varied but remained positive. Conclusions: Dyad perceptions of SDM for implantation of the pulmonary pressure monitoring device were positive and concordant. Future interventions to promote specific behaviors for SDM may be beneficial. Implications for Nursing: This investigation has implications for advanced practice nursing to initiate the SDM process.