Ruth Stalnikowicz1, Mayer Brezis2. 1. Department of Emergency Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. 2. Hadassah-Hebrew University Medical Center & Israel Center for Medical Simulation (MSR), Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Abstract
BACKGROUND: Shared decision-making (SDM) takes place when clinicians help patient identify best course of action in the context of their preferences. METHODS: The aim of this paper is a narrative review of the literature with special focus on the humanistic dimensions of SDM. RESULTS: We show that SDM is largely underused in practice, because of many barriers such as time constraints and poor skills. CONCLUSIONS: We suggest that listening and empathy are key challenges in communicating uncertainty, which require emotional intelligence and trust building skills. To promote implementation, we propose the development of tools, simulation-based training and the design of improved measures for SDM quality. While essential for patients, we believe that SDM may restore meaning in healthcare.
BACKGROUND: Shared decision-making (SDM) takes place when clinicians help patient identify best course of action in the context of their preferences. METHODS: The aim of this paper is a narrative review of the literature with special focus on the humanistic dimensions of SDM. RESULTS: We show that SDM is largely underused in practice, because of many barriers such as time constraints and poor skills. CONCLUSIONS: We suggest that listening and empathy are key challenges in communicating uncertainty, which require emotional intelligence and trust building skills. To promote implementation, we propose the development of tools, simulation-based training and the design of improved measures for SDM quality. While essential for patients, we believe that SDM may restore meaning in healthcare.
Authors: David A Ossin; Emily C Carter; Rufus Cartwright; Philippe D Violette; Shilpa Iyer; Geraldine T Klein; Sangeeta Senapati; Zachary Klaassen; Sylvia M Botros Journal: Nat Rev Urol Date: 2021-12-20 Impact factor: 14.432
Authors: Kristin Palmsten; Dani Bredesen; Meghan M JaKa; Pritika C Kumar; Jeanette Y Ziegenfuss; Elyse O Kharbanda Journal: Pharmacoepidemiol Drug Saf Date: 2020-12-22 Impact factor: 2.890