Shared Decision-Making in Heart Failure.

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.