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Meaningful shared decision-making: complex process demanding cognitive and emotional skills
Ruth Stalnikowicz1, Mayer Brezis2
1Department of Emergency Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
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.
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