Variability, continuity and trust – towards an understanding of uncertainty in health and health care

Sturmberg, Joachim P.

doi:10.1111/j.1365-2753.2010.01458.x

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…Decision makers will be unable to tell whether a development is good or bad, and they may be able to make equally plausible arguments for the likelihood of either outcome. While the battlefield is the prototype for a VUCA environment, all 21st century leaders are beginning to realize that the same principles taught to military leaders are applicable to decision making and long-range planning in all fields, including government and politics (Stiehm, 2002), health care (Sturmberg, 2010), and the world of work (Eisner, 2010a(Eisner, , 2010bEmmerling, 2005;Free, 2009;Helgesen, 2001;Lindborg, 2010;Smith, 2010;Todd, 2010).…”

Section: The Vuca Environmentmentioning

confidence: 99%

Career Advising in a VUCA Environment

Shaffer¹,

Zalewski

2011

NACADA Journal

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Recent developments in the knowledge-driven, postindustrial economy have radically affected college students' prospects for entering and completing successful careers. In this volatile, uncertain, complex, and ambiguous (VUCA) environment, fewer organizations find profitability in hiring, training, and retaining workers. Over the last 20 years, traditional careers, with lifelong security and opportunities for financial success, have been systematically replaced by a contract with workers who maintain their own employability. In addition, college degrees no longer assure graduates of having marketable knowledge and skills, and so traditional career advising yields limited results in a VUCA environment. This is the first in a series of articles outlining a human capital approach to career advising that addresses the challenges of a VUCA environment.

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Section: The Vuca Environmentmentioning

confidence: 99%

Career Advising in a VUCA Environment

Shaffer¹,

Zalewski

2011

NACADA Journal

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“…Besides conceptual work on uncertainty, previous research so far has focused on how clinicians cope with uncertainty. Evidence outside of the context of dementia suggests that clinicians vary in their recognition and acknowledgement of uncertainty, and are often hesitant to discuss uncertainty with patients . A recent observational study in the field of cancer genetic counselling indicates that clinicians do express and address uncertainty, but to a widely varying degree .…”

Section: Introductionmentioning

confidence: 99%

Communicating uncertainties when disclosing diagnostic test results for (Alzheimer's) dementia in the memory clinic: The ABIDE project

Visser

Pelt

Kunneman

et al. 2019

Health Expectations

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Background: The development of novel diagnostics enables increasingly earlier diagnosis of Alzheimer's disease (AD). Timely diagnosis may benefit patients by reducing their uncertainty regarding the cause of symptoms, yet does not always provide patients with the desired certainty. Objective: To examine, using both quantitative and qualitative methods, uncertainty communicated by memory clinic clinicians in post-diagnostic testing consultations with patients and their caregivers. Methods: First, we identified all uncertainty expressions of 22 clinicians in audiotaped post-diagnostic testing consultations with 78 patients. Second, we statistically | 53 VISSER Et al.

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“…In addition, physicians are leery of increasing patient concerns that will be difficult to manage. As a consequence, physicians experience difficulties and can be reluctant to communicate about uncertainty and hope with cancer patients [21–24], fearing that addressing these issues will lead to increased work stress [25]. …”

Section: Introductionmentioning

confidence: 99%

Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients

et al. 2017

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BackgroundAlthough previous studies have reported the efficacy of communication skills training (CST) programs, specific training addressing communication about uncertainty and hope in oncology has not yet been studied. This paper describes the study protocol of a randomized controlled trial assessing the efficacy of a CST program aimed at improving physician ability to communicate about uncertainty and hope in encounters with cancer patients.Methods/designPhysician participants will be randomly assigned in groups (n = 3/group) to a 30-h CST program (experimental group) or to a waiting list (control group). The training program will include learner-centered, skills-focused, practice-oriented techniques. Training efficacy is assessed in the context of an encounter with a simulated advanced stage cancer patient at baseline and after the CST for the experimental group, and after four months for the waiting-list group. Efficacy assessments will include communicational, psychological and physiological measures. Group-by-time effects will be analyzed using a generalized estimating equation (GEE). A power analysis indicated that a sample size of 60 (30 experimental and 30 control) participants will be sufficient to detect effects.DiscussionThe current study will aid in the development of effective CST programs to improve physician ability to communicate about uncertainty and hope in encounters with cancer patients.Trial registrationUS Clinical Trials Register NCT02836197.

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Variability, continuity and trust – towards an understanding of uncertainty in health and health care

Cited by 9 publications

References 11 publications

Career Advising in a VUCA Environment

Career Advising in a VUCA Environment

Communicating uncertainties when disclosing diagnostic test results for (Alzheimer's) dementia in the memory clinic: The ABIDE project

Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients

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