Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach

Shared decision making (SDM) is an interactive process that involves patients and their healthcare professionals reaching joint decisions about medical care through negotiation. As the initiators of medical decision-making in daily routine, physicians should be aware of and concerned about the SDM p...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-10, Vol.19 (20), p.13310
Main Authors: Yu, Shan-Fu, Wang, Hui-Ting, Chang, Meng-Wei, Cheng, Tien-Tsai, Chen, Jia-Feng, Lin, Chia-Li, Yu, Hsing-Tse
Format: Article
Language:English
Subjects:
Breast cancer
Cancer therapies
Clinical decision making
Communication
Core competencies
Coronaviruses
COVID-19
Criteria
Decision Making
Decision Making, Shared
Evaluation
Health services
Humans
Literature reviews
Mastectomy
Medical personnel
Pandemics
Patient Participation
Patient-centered care
Physician-Patient Relations
Physicians
Professionals
Quality of life
Questionnaires
Radiation therapy
Skills
Surgery
Sustainable development
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Summary:Shared decision making (SDM) is an interactive process that involves patients and their healthcare professionals reaching joint decisions about medical care through negotiation. As the initiators of medical decision-making in daily routine, physicians should be aware of and concerned about the SDM process. Thus, professional competency development for SDM has become increasingly critical for physicians' training. Therefore, this study investigates the professional competency and the important competency development aspects/criteria of SDM tasks through expert interviews and literature research. The study adopts the SAA (satisfaction-attention analysis) method to assess the status of competency development aspects/criteria and determine the NRM (network relation map) based on the DEMATEL (decision-making trial and evaluation laboratory) technique. The results demonstrate that the CE (concept and evaluation) aspect is the dominant aspect, and the CR (communication and relationship) aspect is the aspect being dominated. The CE aspect influences the aspects of SP (skill and practice), JM (joint information and decision making) and CR, and the SP aspect affects the aspects of JM and CR. Then, the JM aspect affects the CR aspect. The study also suggests suitable adoption paths of competency development for SDM tasks using the NRM approach. It provides recommendations and strategic directions for SDM competency development and sustainable training programs.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph192013310