Table 3 Examples and ways of rating the given answers to the question: What is your understanding of SDM?
Rated as | Given answer | Reason for rating |
|---|---|---|
Concordant | “SDM is a joint process in which a healthcare professional works together with a person to reach a decision about care.” | The definition recalls the idea of involving the patient in the clinical decisions |
“Choose the best therapeutic approach for the patient by sharing it with the patient and family members.” | ||
“Part of a more comprehensive patient-centered/focused health care. As summary, physician/surgeon and patient share decision-making process, working collaboratively to define the best patient journey putting her/him in the center and always based in the most relevant evidence.” | ||
“A process where healthcare professionals work together with patients with/without families to reach a decision about the patient’s care.” | ||
“Surgeon and patient collaboratively choose the most appropriate treatment for the patient, after adequate information about possible treatments (surgeon) and individual necessities/beliefs (patient) are shared reciprocally.” | ||
“It is a process in which the patient and doctors participate in the medical decision-making process and agree on treatment decisions.” | ||
“Taking a decision based on shared opinion by the patient and a team of physicians. Both sides should be carefully informed and reach to a decision that benefits the patient.” | ||
“Discussion adn condivision, between either patient and physician, about the therapeutics possibilities.” | ||
Inconclusive | “Collaborative decision-making.” | It is unclear with whom such decision-making should occur |
“Collaborative process for shared decisions.” | ||
“Sharing of diagnostic and therapeutic choices.” | ||
“Everyone has a full role in the decision-making process.” | ||
“Inform and take consent from patients.” | Although informed consent is relevant and may represent a tool for SDM, it is not enough to qualify as SDM | |
“One or some best decision for a particular patient.” | It is unclear if and to what extent the patient participates in the process or agrees to the medical decision | |
“Sufficient theoretically but quite poor practically.” | Not clear | |
Discordant | “Share decision with other members of the team to choose the best treatment.” | The patient’s dimension is missing |
“It is a collaborative process as healthcare professionals work together to make a decision about care.” | ||
“Sharing decisions made by different specialities that members of an ER team.” | ||
“Multidisciplinary collaboration in order to get the good choices for the patient.” | ||
“When we should go in the OR and make maybe more radical procedures.” | ||
“A decision taken after a multidisciplinary approach.” | ||
“A surgeon leads, facilitates other specialist referrals, inputs referring specialist decisions, leads surgeon together with other specialists plans and prioritise management plan.” | ||
“Find the best therapeutic indication shared by the team.” | ||
“Senior team consultation prior to decision-making” | ||
“Following guidelines and protocols, each member has a specific role and knows what to do.” | Guidelines and protocols can recommend SDM processes; however, they do not represent the key point | |
“Leadership” | Although leadership may facilitate SDM, it still misses the key point of involving the patient |