Shared Decision Making (DECIDE)
The 6-step DECIDE model is recommended as a guide to shared decision making discussions in Scotland. It gives some examples of what we can say at each step and highlights key phrases you can adapt to different people and situations.
Another helpful way to share balanced, factual information is to use the acronym BRAN.
BRAN - stands for Benefits, Risks, Alternatives, (do) Nothing. It can help patients, families and professionals prepare for SDM conversations.
Choosing language carefully when having shared decision making conversations helps support clear, unambiguous communication that people and their families can understand.
Give evidence-based facts not opinions or description:
The box below has some helpful tips:
To support staff in learning how to have meaningful shared decision making conversations a toolkit has been developed.
This toolkit contains all the resources needed for experienced facilitators to run an interactive, online shared decision making conversation masterclass. The toolkit contains a detailed running order and script for the session, facilitator notes, and handouts for participants plus example clinical scenarios. Facilitators are encouraged to adapt the scenario to the learning needs of their participants. The toolkit can also be used for in-person training.