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Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Standards of Care II01:19

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Nurses bear specific legal responsibilities under several federal statutes, including:
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
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Decision Making: P-value Method01:09

Decision Making: P-value Method

The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
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Patient-centered Care01:13

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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Shared decision making, paternalism and patient choice.

Lars Sandman1, Christian Munthe

  • 1Department of Philosophy, Gothenburg University, Gothenburg, Sweden. lars.sandman@hb.se

Health Care Analysis : HCA : Journal of Health Philosophy and Policy
|February 3, 2009
PubMed
Summary

Shared decision making (SDM) in patient-centered care needs clear definitions. This study explores SDM models, advocating for joint decision-making but offering alternatives when consensus isn't reached.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

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Published on: February 16, 2011

Area of Science:

  • Medical Ethics
  • Health Policy
  • Patient Care

Background:

  • Patient-centered care emphasizes shared decision making (SDM) in medical consultations.
  • Distinguishing SDM from paternalism and patient choice models remains unclear.
  • Various SDM versions exist, some compatible with traditional models, others extending beyond them.

Purpose of the Study:

  • To explore different versions of shared decision making (SDM).
  • To clarify the distinctions between SDM and traditional medical decision-making models like paternalism and patient choice.
  • To advocate for specific SDM models based on core healthcare values.

Main Methods:

  • Conceptual analysis of shared decision making (SDM) models.
  • Exploration of different versions of SDM, including those compatible with paternalism and patient choice.
  • Argumentation for specific SDM models based on balancing patient best interest, autonomy, and adherence.

Main Results:

  • Identified four alternative models: Shared Rational Deliberative Patient Choice, Shared Rational Deliberative Paternalism, Shared Rational Deliberative Joint Decision, and Professionally Driven Best Interest Compromise.
  • Argued for pursuing SDM versions with high-level dynamics in medical decision-making.
  • Proposed the Shared Rational Deliberative Joint Decision model as ideal.

Conclusions:

  • Clarity on the specific SDM version is crucial due to differing connections to healthcare values.
  • The Shared Rational Deliberative Joint Decision model is the preferred ideal.
  • When consensus fails, the Professionally Driven Best Interest Compromise model best balances patient best interest, autonomy, adherence, and the care relationship.