Supportive Care

Shared Decision-Making Competency: Provider-Specific Factors in Hematology-Oncology Clinical Practice

Joseph D. Tariman

Alexandria Tarvainis

Kashica J. Webber-Ritchey

Shannon D. Simonovich

shared decision making, competencies, hematology-oncology, communication
CJON 2020, 24(4), 346-351. DOI: 10.1188/20.CJON.346-351

A computerized database search was performed using PubMed®, CINAHL®, and EBSCOhost to identify provider-specific factors associated with shared decision-making (SDM) competency among direct patient care providers in hematology-oncology practice. Personal factors included being female or older in age and having higher education. Years of clinical experience, nonclinical experiences, institutional support for SDM, administrative support for SDM training and education, and cultural competence were also reported as having a positive correlation with SDM competence among care providers. Future research is needed to identify core SDM competencies in the interprofessional hematology-oncology care setting.


  • Implementing SDM core competencies in the hematology-oncology setting can improve patient–provider communication.
  • Interventions to improve SDM can focus on modifiable factors, such as institutional support for SDM, leadership support for training, and the development of cultural competence related to treatment decisions.
  • Oncology nurses with extensive clinical experience can be champions during the adoption and implementation of SDM in practice.
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