Communicating uncertainty can lead to less decision satisfaction: a necessary cost of involving patients in shared decision making?

Politi, Mary C.; Clark, Melissa A.; Ombao, Hernando; Dizon, Don S.; Elwyn, Glyn

doi:10.1111/j.1369-7625.2010.00626.x

Cited by 151 publications

(141 citation statements)

References 32 publications

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“…However, it is known that, in medical consultations, expressing scientific uncertainty leads to lower patient decision satisfaction at the time of consultation. 53 This may have an impact on dental patients faced with an explanation that a desired treatment may not be feasible. Research in this area is needed.…”

Section: 'The Mother's Shouting At the Kid … And You're There Trying mentioning

confidence: 99%

A study to explore specific stressors and coping strategies in primary dental care practice

Bretherton

Chapman

Chipchase³

2016

Br Dent J

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Background and Aims: It is widely acknowledged that dentists experience occupational stress. This qualitative study aimed to explore previously identified specific stressors in more detail in order to inform the development of a future stress management programme. Method: Two focus groups of dentists (N: 7 & 6) were conducted to explore, in more detail, nine specific stressors and concepts; being out of one's comfort zone, zoning out from the patient, celebrating the positive aspects of work, thinking aloud, the effect of hurting patients, the impact of perfectionism, responsibility for patient's self-care, the emotional impact of difficult situations as a foundation dentist. Participants were also asked for their views on the structure and contents of the proposed stress management package. Verbatim transcripts were subjected to thematic analysis. Results and Discussion: Dentists described the impact of these stressors and their current coping methods; thematic analysis revealed 9 themes which covered the above concepts and a further overall theme of need for control. The findings are elaborated in connection to their relevant stress, coping and emotion psychological theory. Their implications for personal well-being and clinical outcomes are discussed. Conclusion: Dentists' stressful and coping experiences are complex and it is essential that any stress management programme reflects this and that the skills are easily accessible and sustainable within the context of a busy dental practice.

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Section: 'The Mother's Shouting At the Kid … And You're There Trying mentioning

confidence: 99%

A study to explore specific stressors and coping strategies in primary dental care practice

Bretherton

Chapman

Chipchase³

2016

Br Dent J

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“…However, this effect is not universal. In a study of 75 female patients facing decisions about cancer treatment, communicating uncertainty was negatively related to decision satisfaction [9]. Authors suggested that knowledge about uncertainty might add additional anxiety to individuals facing 'high stakes' decisions.…”

Section: Introductionmentioning

confidence: 99%

Shared decision-making in back pain consultations: an illusion or reality?

Jones

Roberts

Little³

et al. 2014

Eur Spine J

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Purpose Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain.Method Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians. Results The mean OPTION score was 24.0 % (range 10.4-43.8 %). Conclusion Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decisionmaking and further work should focus on when and how it can be implemented.

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“…In our analyses we consider the effects of neurologists' certainty about the diagnosis, agreement with the patient (eg. about choice), and the extent to which neurologists consider the presenting symptoms 'medically explained' on patients' satisfaction with their interaction with the doctor, because these features have been found to correlate with patient satisfaction with decision-making or satisfaction more generally in some previous studies [22][23][24][25].…”

Section: Introduction (Revised)mentioning

confidence: 99%

Do patients want choice? An observational study of neurology consultations

Wiseman

Chappell

Toerien

et al. 2016

Patient Education and Counseling

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Communicating uncertainty can lead to less decision satisfaction: a necessary cost of involving patients in shared decision making?

Abstract: Background Given the large number of interventions of uncertain effectiveness, research on communicating uncertainty is needed to examine its impact on patientsÕ health decisions.

Cited by 151 publications

References 32 publications

A study to explore specific stressors and coping strategies in primary dental care practice

A study to explore specific stressors and coping strategies in primary dental care practice

Shared decision-making in back pain consultations: an illusion or reality?

Do patients want choice? An observational study of neurology consultations

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