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Related Experiment Video

Updated: Dec 6, 2025

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

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

Published on: February 16, 2011

Learning shared decision-making in clinical practice.

Anke J M Oerlemans¹, Marjan L Knippenberg¹, Gert J Olthuis¹

¹IQ healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101 (114 IQ), 6500 HB, Nijmegen, the Netherlands.

Patient Education and Counseling

|October 12, 2020

Summary

Shared decision-making (SDM) is learned through practical experience and role models, not formal education. Healthcare professionals and patients highlighted informal learning and reflective practice as key to mastering SDM skills.

Keywords:

Medical education Physician–patient communication Qualitative research Shared decision-making

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Area of Science:

Medical Education
Healthcare Professional Development
Patient-Centered Care

Background:

Shared decision-making (SDM) is crucial for patient-centered care.
Understanding how healthcare professionals learn SDM in clinical settings is essential for improving practice.

Purpose of the Study:

To investigate the learning processes of shared decision-making (SDM) from the perspectives of both healthcare professionals and patients.
To identify barriers and facilitators influencing the acquisition of SDM skills in clinical practice.

Main Methods:

Qualitative study employing focus groups and individual interviews.
Involved interns, residents, senior physicians, and patients/relatives from fertility and intensive care settings.

Main Results:

SDM nuances are learned through practical experience, not undergraduate education.
Informal learning, observing role models (both positive and negative examples), and developing a personal repertoire of skills are key.
Barriers and drivers for SDM are related to patients, caregivers, and the clinical context.

Conclusions:

Learning SDM is complex, involving patient engagement, informal learning, role models, and reflective practice.
Effective SDM acquisition requires addressing systemic pressures and enhancing practical training with a focus on informal learning and role modeling.