Article
Primary Health Care
Claire Friedemann Smith, Benedikte Moller Kristensen, Rikke Sand Andersen, F. D. Richard Hobbs, Sue Ziebland, Brian D. Nicholson
Summary: General practitioners see gut feelings as an essential part of decision making that facilitates appropriate and timely care, especially in cases where clinical guidelines are insufficient. They take steps to legitimize their gut feelings that align with good clinical practice.
BRITISH JOURNAL OF GENERAL PRACTICE
(2021)
Article
Nursing
Fen-Fang Chung, Pao-Yu Wang, Shu-Chuan Lin, Yu-Hsia Lee, Hon-Yen Wu, Mei-Hsiang Lin
Summary: This qualitative research study examined the experiences of 21 nurses participating in Shared Decision Making (SDM) in a medical center in northern Taiwan. The findings revealed that nurses focused on SDM knowledge, trigger discussion and coordination, as well as respect for sociocultural factors during the process. These results can be used for nursing education and to enhance professional nursing SDM in clinical practice.
Article
Health Care Sciences & Services
Sietse Wieringa, Ana Luisa Neves, Alexander Rushforth, Emma Ladds, Laiba Husain, Teresa Finlay, Catherine Pope, Trisha Greenhalgh
Summary: This study examines the impact of remote triage and assessment during the early stages of the COVID-19 pandemic on patient safety. The findings highlight the need to strengthen system resilience, develop evidence-based triage and scoring systems, and address social vulnerability in future crises.
BMJ QUALITY & SAFETY
(2022)
Article
Nursing
Cathryn Smith, Paul Gill, Jessica Baillie
Summary: This article presents a study protocol to investigate the factors that inform healthcare professionals' clinical decision-making in end of life care for people with dementia in primary care. The study will use a qualitative design and ethnographic approach to gather rich data through observation, interviews, and document review. The findings of this study are expected to inform the development of an intervention to support healthcare professionals in providing quality end of life care for people with dementia in primary care.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Medical Informatics
Tarsha Jones, Thomas Silverman, Ashlee Guzman, Julia E. McGuinness, Meghna S. Trivedi, Rita Kukafka, Katherine D. Crew
Summary: This study aimed to identify provider-related barriers to shared decision-making (SDM) for chemoprevention in primary care settings. The analysis revealed that competing demands during clinical encounters, lack of knowledge among providers about chemoprevention, and limited risk communication during clinical encounters were critical barriers to SDM.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Article
Medicine, General & Internal
Nigel E. Drury, Julie C. Menzies, Clare J. Taylor, Timothy J. Jones, Anna C. Lavis
Summary: This study explored parents' perspectives on decision-making about their child's participation in a clinical trial during elective cardiac surgery. Parental decision-making was influenced by potential risks or additional procedures, personal benefit and altruism for the 'cardiac community', information, preparation, timing and approach, as well as trust in the clinical team and collaboration with researchers. Parents of children undergoing cardiac surgery attach value to clinical research and are supportive of clinical trials when there is no or minimal perceived additional risk.
Article
Computer Science, Information Systems
Marc Serramia, Maite Lopez-Sanchez, Stefano Moretti, Juan A. Rodriguez-Aguilar
Summary: Decision makers face challenges in comparing and ranking elements based on multiple criteria and personal preferences. This study introduces a new decision-making framework and presents a new method for ranking single elements. It is also proven that the contributions of this study generalize recent results in the field of social choice. The findings are illustrated through a case study on ethical decision-making.
INFORMATION SCIENCES
(2023)
Article
Psychiatry
Lukas O. Roebroek, Jojanneke Bruins, Albert Boonstra, Wim Veling, Frederike Jorg, B. Esther Sportel, Philippe A. Delespaul, Stynke Castelein
Summary: This study examines the use of a clinical decision aid (TREAT) in mental healthcare and its impact on clinicians' discussions about patients' care needs and evidence-based treatment decisions. The results demonstrate that the use of the decision aid leads to increased discussions about care needs and more evidence-based treatment decisions.
JOURNAL OF PSYCHIATRIC RESEARCH
(2022)
Article
Health Care Sciences & Services
Linnaea Schuttner, Jenney R. Lee, Stacey Hockett Sherlock, James D. Ralston, Ann-Marie Rosland, Karin Nelson, Carol Simons, George G. Sayre
Summary: Primary care physicians recognize that patients' values, health priorities and goals, and preferences influence clinical decision-making for complex patients with multimorbidity. Participants used specific strategies to negotiate alignment when there were diverging views between physicians and patients. Although rarely discussed directly in clinical encounters, personal values played a role in shaping patient health priorities, goals, and preferences during care planning, suggesting the importance of deliberate elicitation and discussion of patient values for this population.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2022)
Article
Primary Health Care
Andrew Turner, Rebecca Morris, Dylan Rakhra, Fiona Stevenson, Lorraine McDonagh, Fiona Hamilton, Helen Atherton, Michelle Farr, Sarah Blake, Jon Banks, Gemma Lasseter, Sue Ziebland, Emma Hyde, John Powell, Jeremy Horwood
Summary: The unintended consequences of online consultations in primary care include restricting patient access to care, creating additional work and dissatisfaction for some staff, and leading to a more transactional style of medicine due to the nature of asynchronous communication. These challenges must be recognized and addressed to make effective use of online consultation tools.
BRITISH JOURNAL OF GENERAL PRACTICE
(2022)
Article
Health Care Sciences & Services
Jessica Watson, Penny F. Whiting, Chris Salisbury, William T. Hamilton, Jonathan Banks
Summary: This study explores communication and decision-making around diagnostic blood tests in primary care. The findings show a mismatch in expectations and understanding between doctors and patients, leading to frustration, anxiety, and uncertainty for patients. Shared decision-making was not observed in consultations preceding the decision to test, and doctors adopted a paternalistic approach. Patients lacked sufficient information and shared understanding of tests, preventing them from developing informed preferences.
HEALTH EXPECTATIONS
(2022)
Article
Geriatrics & Gerontology
Jonathan M. K. Bogaerts, Laurie A. Warmerdam, Wilco P. Achterberg, Jacobijn Gussekloo, Rosalinde K. E. Poortvliet
Summary: A qualitative analysis of semi-structured interviews revealed that proxy decision-making in dementia research is influenced by factors such as past experiences, attitudes, and the involvement of other proxies or treating healthcare professionals. These findings provide insights that could improve the decision-making process for proxies and researchers.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Public, Environmental & Occupational Health
Sascha M. Keij, Nanny Van Duijn-Bakker, Anne M. Stiggelbout, Arwen H. Pieterse
Summary: This study identified five key elements of patient readiness for shared decision making and ten characteristics that may influence these elements. Readiness for SDM may vary between and within patients, and clinicians should be aware that some patients may need support to enhance their readiness.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Surgery
Jasmine Panton, Brendin R. Beaulieu-Jones, Jayson S. Marwaha, Alison P. Woods, Drashko Nakikj, Nils Gehlenborg, Gabriel A. Brat
Summary: This study investigated how surgeons assess and communicate risks in surgery, with a focus on the role of risk calculators. The results showed that non-clinical factors, such as health and risk literacy, affect how surgeons evaluate and communicate risks, which differs from traditional risk calculators. The study also highlighted the misalignment between surgeons' perception of risk communication and patient priorities.
AMERICAN JOURNAL OF SURGERY
(2023)
Article
Forestry
Courtney A. Schultz, Lauren F. Miller, Sarah Michelle Greiner, Chad Kooistra
Summary: This study assessed the perceived value of Risk Management Assistance (RMA) and the factors affecting its use in improving wildfire decision-making. While RMA helped line officers communicate decisions more clearly, factors such as personality, pre-season exposure to RMA, local political dynamics, and decision biases influenced its utilization. The findings highlight the complexities of embracing risk management in fire management and similar emergency contexts.