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An Evaluation of the Decision-Making Capacity Assessment Model
| Content Provider | Semantic Scholar |
|---|---|
| Author | Brémault-Phillips, Suzette Parmar, Jasneet Friesen, Steven P. Rogers, Laura G. Pike, Ashley Sluggett, Bryan |
| Copyright Year | 2016 |
| Abstract | BACKGROUND The Decision-Making Capacity Assessment (DMCA) Model includes a best-practice process and tools to assess DMCA, and implementation strategies at the organizational and assessor levels to support provision of DMCAs across the care continuum. A Developmental Evaluation of the DMCA Model was conducted. METHODS A mixed methods approach was used. Survey (N = 126) and focus group (N = 49) data were collected from practitioners utilizing the Model. RESULTS Strengths of the Model include its best-practice and implementation approach, applicability to independent practitioners and inter-professional teams, focus on training/mentoring to enhance knowledge/skills, and provision of tools/processes. Post-training, participants agreed that they followed the Model's guiding principles (90%), used problem-solving (92%), understood discipline-specific roles (87%), were confident in their knowledge of DMCAs (75%) and pertinent legislation (72%), accessed consultative services (88%), and received management support (64%). Model implementation is impeded when role clarity, physician engagement, inter-professional buy-in, accountability, dedicated resources, information sharing systems, and remuneration are lacking. Dedicated resources, job descriptions inclusive of DMCAs, ongoing education/mentoring supports, access to consultative services, and appropriate remuneration would support implementation. CONCLUSIONS The DMCA Model offers practitioners, inter-professional teams, and organizations a best-practice and implementation approach to DMCAs. Addressing barriers and further contextualizing the Model would be warranted. |
| Starting Page | 83 |
| Ending Page | 96 |
| Page Count | 14 |
| File Format | PDF HTM / HTML |
| DOI | 10.5770/cgj.19.222 |
| PubMed reference number | 27729947 |
| Journal | Medline |
| Volume Number | 19 |
| Alternate Webpage(s) | https://cgjonline.ca/index.php/cgj/article/download/222/306 |
| Alternate Webpage(s) | https://doi.org/10.5770/cgj.19.222 |
| Journal | Canadian geriatrics journal : CGJ |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
