Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Clinical Trials: Overview01:11

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
Clinical Trials01:16

Clinical Trials

Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
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:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Making Information Stick: Patient-centered Conversation Aids to Support Retention of Information in Outpatient Anesthesia Consultations.

Anesthesiology·2026
Same author

Patients' Perspectives and Experiences of Participating in Anesthesia Research: A Qualitative Study.

Anesthesia and analgesia·2026
Same author

Evaluating Whether Icons and Visual Elements Help or Hinder Understanding of Key Information for Research Studies: Results From a Randomized Trial.

Health literacy research and practice·2026
Same author

Laypeople's Perceptions of Clinician Performance Metrics Based on Cancer Screening Attendance.

JAMA health forum·2026
Same author

Feasibility Pilot Trial for the Trajectories of Recovery after Intravenous Propofol versus Inhaled Volatile Anesthesia (THRIVE) Pragmatic Randomized Clinical Trial.

Anesthesiology·2026
Same author

Exploring clinician and patient perspectives on choice of general anaesthetic. A report of two U.S. surveys: an anesthesia clinician Multicenter Perioperative Outcomes Group survey and a patient Amazon Mechanical Turk survey.

BJA open·2026

Related Experiment Videos

Supporting shared decisions when clinical evidence is low.

Mary C Politi1, Carmen L Lewis, Dominick L Frosch

  • 1Department of Surgery, Division of Public Health Sciences, Washington University in St Louis, St Louis, MO 63110, USA. mpoliti@wustl.edu

Medical Care Research and Review : MCRR
|November 6, 2012
PubMed
Summary

Shared decision making (SDM) is crucial, even with limited clinical evidence. This article explores challenges and strategies for effective patient-clinician collaboration when evidence is low.

Related Experiment Videos

Area of Science:

  • Healthcare Research
  • Clinical Decision-Making
  • Patient Engagement

Background:

  • Shared decision making (SDM) is increasingly recognized in clinical practice and policy.
  • SDM is traditionally applied to preference-sensitive decisions with treatment equipoise.
  • However, SDM's applicability extends to situations with low or conflicting clinical evidence.

Purpose of the Study:

  • To identify challenges in implementing SDM with low clinical evidence.
  • To describe strategies for facilitating SDM in low-evidence scenarios.
  • To propose future research directions for SDM in evidence-limited contexts.

Main Methods:

  • The article reviews existing literature and clinical practice guidelines.
  • It synthesizes challenges encountered in low-evidence decision-making.
  • Strategies for supporting SDM are discussed based on theoretical frameworks and practical considerations.

Main Results:

  • Implementing SDM with low evidence presents unique difficulties beyond standard preference-sensitive decisions.
  • Strategies include enhanced communication, patient education, and structured decision support tools.
  • Addressing uncertainty and patient values is paramount.

Conclusions:

  • SDM can and should be supported even when clinical evidence is limited.
  • Further research is needed to refine and evaluate strategies for SDM in low-evidence settings.
  • Adapting SDM approaches is essential for equitable and patient-centered care.