Scenario 2: Acute Coronary Syndrome Nursing Case Study – Shared Decision-Making
Case Overview
Scenario 2: You are caring for Carl Shapiro, a 62-year-old man with a recent history of acute coronary syndrome, which resulted in an interventional coronary angiogram procedure, with the placement of two stents to repair the blockages to his coronary arteries. Carl deteriorated during his procedure and required a two-day recovery in the ICU. He is now back on the ward, but he appears upset at times, his family tell you they thought he was going to die.
The hospital is implementing a new program to facilitate patient and family involvement in identifying and responding to clinical deterioration, particularly when concerns are not escalated by clinical staff. Your role involves introducing Carl and his family to the new system through shared decision-making.
Question 10 – Evidence-Based Practice and Shared Decision-Making
As part of evidence-based nursing practice, you must integrate patient preferences into your decision-making. Shared decision-making is an important part of collaborating with patients and Student template NURS3006 A2 T3 2025 6 Southern Cross University their families.
As part of your answer, explain why shared decision-making is important and relate this to your chosen scenario. Your answer should also be supported by the NMBA Registered Nurse Standards for Practice (2016) and the Australian Commission on Safety and Quality in Health Care National Safety and Quality Health Service (NSQHS) Standards. You may use abbreviations for ‘NMBA’ and ‘NSHQS’. As part of your answer, you must identify the linking standards numerically (e.g., NMBA RN standard 1.2) and then discuss how they support the importance of shared-decision making. A minimum of one additional reference is required. (Approximately 100-150 words)
Question 11 – Participation in Shared Decision-Making
Discuss how you will participate in shared decision-making with the patient and family in relation to your chosen scenario. Draw upon relevant information presented in the unit content to support your discussion.
This answer has three parts:
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Identify two potential barriers to shared decision-making in relation to your chosen scenario
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Identify two strategies to overcome these barriers
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Discuss one bias (discussed in the module content) that may impact shared decision-making in relation to your chosen scenario (Minimum of two references)
(Approximately 100-150 words)
