The importance of communication in collaborative decision making: facilitating shared mind and the management of uncertainty

The importance of communication in collaborative decision making: facilitating shared mind and... Rationale Quality medical decision making requires that clinicians and patients incorporate the best available clinical evidence with the patients' values and preferences to develop a mutually agreed upon treatment plan. The interactive process involved in medical decision making is complex and requires patients and clinicians to use both cognitive and communicative skills to reach a shared understanding of the decision. Aims and objectives The purpose of this paper is to present a communication model to help better understand quality medical decision making, and how patient‐centered, collaborative communication enhances the decision‐making process. Methods We present research on shared mind and cognitive and communicative skills to highlight how they can facilitate the management of uncertainty during the interactive process involved in medical decision making. We provide simple examples about how to frame messages to achieve shared mind and foster uncertainty tolerance. Conclusions Strategies such as providing clear explanations, checking for understanding, eliciting the patient's values, concerns, needs, finding common ground, reaching consensus on a treatment plan, and establishing a mutually acceptable follow‐up plan can facilitate collaborative decision making. Future research should explore ways to implement collaborative decision‐making processes in existing health care systems. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Evaluation in Clinical Practice Wiley

The importance of communication in collaborative decision making: facilitating shared mind and the management of uncertainty

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Publisher
Wiley
Copyright
© 2010 Blackwell Publishing Ltd
ISSN
1356-1294
eISSN
1365-2753
DOI
10.1111/j.1365-2753.2010.01549.x
Publisher site
See Article on Publisher Site

Abstract

Rationale Quality medical decision making requires that clinicians and patients incorporate the best available clinical evidence with the patients' values and preferences to develop a mutually agreed upon treatment plan. The interactive process involved in medical decision making is complex and requires patients and clinicians to use both cognitive and communicative skills to reach a shared understanding of the decision. Aims and objectives The purpose of this paper is to present a communication model to help better understand quality medical decision making, and how patient‐centered, collaborative communication enhances the decision‐making process. Methods We present research on shared mind and cognitive and communicative skills to highlight how they can facilitate the management of uncertainty during the interactive process involved in medical decision making. We provide simple examples about how to frame messages to achieve shared mind and foster uncertainty tolerance. Conclusions Strategies such as providing clear explanations, checking for understanding, eliciting the patient's values, concerns, needs, finding common ground, reaching consensus on a treatment plan, and establishing a mutually acceptable follow‐up plan can facilitate collaborative decision making. Future research should explore ways to implement collaborative decision‐making processes in existing health care systems.

Journal

Journal of Evaluation in Clinical PracticeWiley

Published: Aug 1, 2011

References

  • Shared decision‐making in the medical encounter: what does it mean? (or it takes at least two to tango)
    Charles, Charles; Gafni, Gafni; Whelan, Whelan
  • Inside the black box of shared decision making: distinguishing between the process of involvement and who makes the decision
    Edwards, Edwards; Elwyn, Elwyn
  • Health literacy and cancer communication
    Davis, Davis; Williams, Williams; Marin, Marin; Parker, Parker; Glass, Glass
  • Communication and uncertainty management
    Brashers, Brashers

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