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J Obstet Gynecol Neonatal Nurs. 2002 Sep-Oct;31(5):570-81.

An evidence-based approach to managing women's decisional conflict.

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University of Ottawa, School of Nursing and Faculty of Medicine, Canada.


Women who face difficult health decisions are likely to experience decisional conflict. To date, women have been supported in their decision making through informal counseling and client education. The Ottawa Decision Support Framework guides practitioners in assessing decision-making needs in clinical practice, providing support for client decision making, and evaluating the effectiveness of their interventions. Several evidence-based decision support tools were derived from this framework, including practitioner-administered and client self-administered decision guides, condition-specific decision aids, and the Decisional Conflict Scale.

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