Assignment: Circumcision Shared Decision-Making

Assignment: Circumcision Shared Decision-Making

Assignment: Circumcision Shared Decision-Making

Introduction: This assignment is meant to tie in what you are studying with the broader landscape Effective and Client-Centered Care. This is a low-stakes assignment, a space that we’ve tried to create to free you, facilitate your scholarly curiosity, and provide a space to discover and utilize tools that can highlight the client’s preferences, values, and goals which ultimately improves their health outcomes.

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Objectives:

1. Navigate the FNU library to find toolkits and ultimately the Ottowa Personal Decision Guide template

2. Complete the Ottowa Decision Aid (DA) template with current circumcision information

3. Go through the process of the Ottowa DA for circumcision with a friend, colleague, partner… to help your “client” arrive at a decision that fits their preferences, values, and goals

Instructions:

Go through this step-by-step process because we want you to actually go into the site, figure out how to get what you want, play with it a little, and ultimately use the decision aid (DA). Be patient – it will only take a few minutes to get there and you might be surprised with what you find along the way 🙂

1. Go to the FNU Library Home page

On the right-hand side under Quick Links go to INFO GUIDES

Scroll down to and then click: DNP Clinical Preparation and Planning

Take a look around at the wealth of resources here

Scroll down to and then click: Toolkits

Scroll down to and then click: Shared Decision Making

Go to the main part of the page and under Toolkits by Topic click on Shared Decision Making

Now click on Ottowa Personal Decision Guides

Scroll down to Ottowa Personal Decision for TWO – voila!

2. Complete the DA with information from the course (Module 3B3). You can also review and use the resources listed at the bottom of the course page if you need further information and here 2 NIH studies that may be helpful:

Guevara CG, Achua JK, Blachman-Braun R, Cabrera-Valencia I, Ransford GA, Gosalbez R, Labbie AS, Castellan MA, Alam A. Neonatal Circumcision: What Are the Factors Affecting Parental Decision? Cureus. 2021 Nov 9;13(11):e19415. doi: 10.7759/cureus.19415. Erratum in: Cureus. 2023 Oct 13;15(10):c137. PMID: 34926011; PMCID: PMC8654051.

Morris BJ, Krieger JN, Klausner JD. CDC’s Male Circumcision Recommendations Represent a Key Public Health Measure. Glob Health Sci Pract. 2017 Mar 28;5(1):15-27. doi: 10.9745/GHSP-D-16-00390. PMID: 28351877; PMCID: PMC5478224.

Here are a few of the more recently updated recommendations from some of our governing bodies:

ACOG: Newborn Male Circumcision: https://www.acog.org/womens-health/faqs/newborn-male-circumcisionLinks to an external site.

And I always check out the AAFP as their policies and guidelines usually seem quite wholistic

Newborn Circumcision Procedures: https://www.aafp.org/pubs/afp/issues/2020/0601/p680.htmlLinks to an external site.

Don’t be put off by this article, it has a nice summary of risks/benefits as well as shows the recommendation ratings

3. Use the DA with a friend, family member, or colleague who doesn’t know much about circumcision. Experience it as the provider and inquire how it felt for the “client”.

4. SUBMIT a < 3-minute Reflection by answering the questions below.

***You will have to practice your recording several times to get it under 3 minutes but you CAN do this. Be clear and focused and PRACTICE!

please answer this questions in a thoughtful and scholarly manner:

1. How did this go? How did it feel? Was it more helpful to have/use the tool than just to have a discussion or give the client a handout?

2. Did you use the tool together or did the “client” use the tool alone or did you read it to them? How would you improve your process of using this tool next time?

3. Did you find any other decision aids you are excited about and why?

3 MANDATORY QUESTIONS:

1. What is something new that you learned from using this or any decision aid?

2. If the goal was to increase client education, engagement, and empowerment, HOW was this tool helpful? And if it was NOT helpful what could you do differently to improve not only education but engagement and empowerment?

3. What was one bias you noticed about your own thoughts on circumcision? How could that bias influence your teaching and the client’s perception of care?