Impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post study

Abstract Background Shared decision-making (SDM) is central to person-centred care and professional nursing practice. Some primary care nurses must become more comfortable and prepared to use SDM in their practice, especially with patients having complex care needs. Methods We conducted a single-gro...

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Main Authors: Marie-Eve Poitras, Vanessa T. Vaillancourt, Priscilla Beaupré, Andréanne Bernier, Karina Prévost, Annie Poirier, Mireille Guérin, Pierre Pluye, Mathieu Bujold, France Légaré, Maud-Christine Chouinard, Catherine Hudon
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03014-y
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author Marie-Eve Poitras
Vanessa T. Vaillancourt
Priscilla Beaupré
Andréanne Bernier
Karina Prévost
Annie Poirier
Mireille Guérin
Pierre Pluye
Mathieu Bujold
France Légaré
Maud-Christine Chouinard
Catherine Hudon
author_facet Marie-Eve Poitras
Vanessa T. Vaillancourt
Priscilla Beaupré
Andréanne Bernier
Karina Prévost
Annie Poirier
Mireille Guérin
Pierre Pluye
Mathieu Bujold
France Légaré
Maud-Christine Chouinard
Catherine Hudon
author_sort Marie-Eve Poitras
collection DOAJ
description Abstract Background Shared decision-making (SDM) is central to person-centred care and professional nursing practice. Some primary care nurses must become more comfortable and prepared to use SDM in their practice, especially with patients having complex care needs. Methods We conducted a single-group pre-post study with primary care nurses to assess the relevance and impacts of the online continuing professional development (CPD) toolkit. Using the New World Kirkpatrick model, we assessed the toolkit’s relevance (level-1, reaction) and nurses’ confidence and commitment (level-2, learning). We collaborated with the virtual community of practice for nurses in family medicine groups in Quebec to reach out to as much nurses as possible. We sent hard copies of the toolkit to 42 primary care establishments. We used descriptive statistics and the student t-test to treat quantitative data and analyzed open-ended questions with qualitative content analysis. Results One hundred sixty-five nurses used the toolkit, and 69 completed the pre- and post-training survey. Most were female (94.2 %), aged between 31–45 years old (55.1 %), and held a first university degree (91.3 %). Ninety-six percent (96 %) agreed or strongly agreed that the toolkit would improve their practice. The toolkit significantly increased nurses’ confidence (p ≤ 0.001) and intention (p ≤ 0.01) to engage in SDM with patients having complex care needs. Nurses appreciated the relevance of video vignettes and accessibility, amongst others. Conclusions Primary care nurses felt better able to include SDM in their practice with patients with complex care needs and understand their roles better. A CPD toolkit by and for primary care nurses is relevant and increases learning.
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spelling doaj-art-0d0a80b6ce19455fbc9b5c1c69a05b9a2025-08-20T02:17:01ZengBMCBMC Nursing1472-69552025-04-0124111110.1186/s12912-025-03014-yImpacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post studyMarie-Eve Poitras0Vanessa T. Vaillancourt1Priscilla Beaupré2Andréanne Bernier3Karina Prévost4Annie Poirier5Mireille Guérin6Pierre Pluye7Mathieu Bujold8France Légaré9Maud-Christine Chouinard10Catherine Hudon11Department of Family Medecine and Emergency Medecine, Université de SherbrookeDepartment of Family Medecine and Emergency Medecine, Université de SherbrookeDepartment of Family Medecine and Emergency Medecine, Université de SherbrookeTeaching and Research Unit (UER) in Health SciencesDepartment of Family Medecine and Emergency Medecine, Université de SherbrookeMedecine Faculty, Université LavalDepartment of Family Medecine and Emergency Medecine, Université de SherbrookeDepartment of Family Medicine, McGill UniversityDepartment of Management, Evaluation and Health Policy, School of Public Health, Université de MontréalMedecine Faculty, Université LavalNursing Faculty, Université de MontréalDepartment of Family Medecine and Emergency Medecine, Université de SherbrookeAbstract Background Shared decision-making (SDM) is central to person-centred care and professional nursing practice. Some primary care nurses must become more comfortable and prepared to use SDM in their practice, especially with patients having complex care needs. Methods We conducted a single-group pre-post study with primary care nurses to assess the relevance and impacts of the online continuing professional development (CPD) toolkit. Using the New World Kirkpatrick model, we assessed the toolkit’s relevance (level-1, reaction) and nurses’ confidence and commitment (level-2, learning). We collaborated with the virtual community of practice for nurses in family medicine groups in Quebec to reach out to as much nurses as possible. We sent hard copies of the toolkit to 42 primary care establishments. We used descriptive statistics and the student t-test to treat quantitative data and analyzed open-ended questions with qualitative content analysis. Results One hundred sixty-five nurses used the toolkit, and 69 completed the pre- and post-training survey. Most were female (94.2 %), aged between 31–45 years old (55.1 %), and held a first university degree (91.3 %). Ninety-six percent (96 %) agreed or strongly agreed that the toolkit would improve their practice. The toolkit significantly increased nurses’ confidence (p ≤ 0.001) and intention (p ≤ 0.01) to engage in SDM with patients having complex care needs. Nurses appreciated the relevance of video vignettes and accessibility, amongst others. Conclusions Primary care nurses felt better able to include SDM in their practice with patients with complex care needs and understand their roles better. A CPD toolkit by and for primary care nurses is relevant and increases learning.https://doi.org/10.1186/s12912-025-03014-yShared decision-makingContinuous professional developmentPatient-centered careNurseEducationPrimary care
spellingShingle Marie-Eve Poitras
Vanessa T. Vaillancourt
Priscilla Beaupré
Andréanne Bernier
Karina Prévost
Annie Poirier
Mireille Guérin
Pierre Pluye
Mathieu Bujold
France Légaré
Maud-Christine Chouinard
Catherine Hudon
Impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post study
BMC Nursing
Shared decision-making
Continuous professional development
Patient-centered care
Nurse
Education
Primary care
title Impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post study
title_full Impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post study
title_fullStr Impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post study
title_full_unstemmed Impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post study
title_short Impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision-making: a single-group pre-post study
title_sort impacts of an online asynchronous continuing professional development toolkit supporting primary care nurses to engage in shared decision making a single group pre post study
topic Shared decision-making
Continuous professional development
Patient-centered care
Nurse
Education
Primary care
url https://doi.org/10.1186/s12912-025-03014-y
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