Shared Mind: Communication, Decision Making, and Autonomy in Serious Illness

Shared decision-making and patient autonomy.

In patient-centred care, shared decision-making is advocated as the preferred form of medical decision-making. Shared decision-making is supported with reference to patient autonomy without abandoning the patient or giving up the possibility of influencing how the patient is benefited. It is, however, not transparent how shared decision-making is related to autonomy and, in effect, what support...

Computerized Decision Aids for Shared Decision Making in Serious Illness: Systematic Review

BACKGROUND Shared decision making (SDM) is important in achieving patient-centered care. SDM tools such as decision aids are intended to inform the patient. When used to assist in decision making between treatments, decision aids have been shown to reduce decisional conflict, increase ease of decision making, and increase modification of previous decisions. OBJECTIVE The purpose of this syste...

Factors influencing communication and decision-making about life-sustaining technology during serious illness: a qualitative study

OBJECTIVES We aimed to identify factors influencing communication and decision-making, and to learn how physicians and nurses view their roles in deciding about the use of life-sustaining technology for seriously ill hospitalised patients and their families. DESIGN The qualitative study used Flanagan's critical incident technique to guide interpretive description of open-ended in-depth indivi...

Communication: From Paternalism to Shared Decision Making

At the same time, significant progress in cancer treatment was under way, and an early diagnosis began to provide more hope for the cancer patient. Public educational efforts began to focus on providing information to lay people about cancer. Experts in the field prepared pamphlets describing various cancers and their warning signs in order to help patients turn to physicians at appropriate tim...

Shared decision making, decision aids, and risk communication.