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Table 2 Integration of the practical framework for shared decision making with the tools

From: Development of a conversation approach for practice nurses aimed at making shared decisions on goals and action plans with primary care patients

Practical framework for shared decision making about goals and action plans Tools
1 Preparation   
2 Goal setting
 A Exploration
 B Giving Information
 C Formulating goals
4-circles tool to explore the patient’s situation and goals Patient profiles to adjust the communication and coaching to the individual patient
3 Action planning
 A Choice talk
 B Option talk
 C Decision talk
4 Evaluation 4-circles tool to monitor and evaluate the patient’s goal achievement and to reset goals