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Updated: Sep 3, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
[Shared Decision-Making in Care for Pediatric Patients With Cancer: Practices and Challenges]
1PhD, RN, Professor, School of Nursing, Kaohsiung Medical University, and Adjunct Research Fellow, Department of Medical Research, Kaohsiung Medical University Hospital, Taiwan, ROC. painting@kmu.edu.tw.
Abstract:
Shared decision-making (SDM) is a process of patient-centered clinical reasoning used to promote mutual respect and communication between doctors and patients. The medical team provides empirical data on different treatments. After communicating with patients and families, they discuss and exchange information with each other to achieve the best results from the available treatment options. Therefore, SDM is a current clinical care trend that may improve patients' disease knowledge and decrease treatment-related conflicts. However, SDM has not been extended to children and adolescents. This literature review article introduces the philosophy of SDM and practices and challenges of implementing SDM in children with cancer. We believe this article will enrich the clinical practice of SDM in children with cancer and improve related quality of care and family-centered care.
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