1. Information Sharing: Provide patients with comprehensive, understandable information about their condition and treatment options. 2. Eliciting Patient Preferences: Use open-ended questions to understand the patient's values, preferences, and concerns. 3. Discussing Options: Explain the benefits and risks of each option, ensuring that the patient understands all possible outcomes. 4. Deliberation: Engage in a dialogue where both the nurse and the patient weigh the options together. 5. Decision Making: Reach a decision that aligns with the patient's values and is supported by clinical evidence. 6. Follow-Up: Monitor the patient's progress and revisit decisions as necessary.