Barriers and facilitators of shared Decision-making in Emergency Surgery Patients
DOI:
https://doi.org/10.63278/jicrcr.vi.1589Abstract
Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons.
Method:
Descriptive , cross sectional research study was utilized in this research, it was conducted at King Fahad Armed Forces Hospital. One tools was developed to assess barriers and facilitators of shared decision in emergency surgery: It consisted of three parts: Part I: socio- demographic data, Part II: knowledge, and practice-based information regarding their SDM understanding and dynamics, and facilitators and barriers of SDM in emergency surgery. Finding: the patient profiles, The average age of the patients was 38.5 ± 16.1 years. The duration of the symptoms was 89.5 minutes till they were referred to the emergency department. 54.1 ± 41.3 minutes was the average wait time at the emergency room. Three variables remained after the model was ran in three steps: the patient's systolic blood pressure, marital status, and family member's SDM level. The model's adjusted coefficient of determination (adjusted R square) and coefficient of determination (R2) in the third stage were both 0.68. As a result, the variables included in the model might offer a decent fit. All three factors that were left in the model were able to predict changes in the patient's SDM level (P < 0.05), according to the model's results and making choices).
Conclusion: In concluding our work, we should begin from the premise that inspired it. SDM represents a critical and “hot” topic in today’s healthcare troposphere, involving all medical spheres. Emergency and trauma backgrounds often represent stimulating situations in which SDM may look problematic to apply. Amazingly, only less than half of the inquired surgeons are familiar with the term and meaning of SDM.
