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Table 5 Barriers to SDM

From: Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey

Item

Mean

SD

Sometimes decisions are urgent and have to be made right away

4.11

0.88

Multidisciplinary emergency teams collaborate successfully with each other

3.83

0.94

Sometimes there are communication issues (e.g., language barriers)

3.66

1.03

Patients prefer to say: “You decide” or “Do what you think is best, doc”

3.60

1.02

Patients lack knowledge of treatment options

3.57

1.08

There are many other things demanding the attention of healthcare professionals

3.44

1.04

Healthcare professionals forget to apply SDM as it is not part of the routine

3.34

1.08

Healthcare professionals feel that they lack knowledge about what SDM entails

3.21

1.06

Several colleagues do not believe in SDM

3.21

1.17

The inter-professional collaboration is inadequate (e.g., poor communication within the team)

3.10

1.09

Time should be dedicated to other tasks than SDM

2.99

1.12

SDM causes patients to question the expertise of healthcare professionals

2.83

1.25

There is not enough time to apply SDM (e.g., consultation times are too short)

2.82

1.20

Some treatment options are too expensive to be taken into account

2.74

1.23

SDM is incompatible with clinical practice guidelines

2.16

1.20