What is Shared Decision Making?
Shared Decision Making (SDM) is a collaborative process that allows patients, families, and healthcare providers to make healthcare decisions together. It involves the exchange of information, discussion of options, and mutual agreement on the best course of action. In the context of
Pediatrics, SDM is crucial as it ensures that both the child's and family's values, preferences, and needs are taken into account.
Family-Centered Care: It ensures that
families are actively involved in their child's care, which can lead to better health outcomes and higher satisfaction.
Individualized Care: Every child is unique. SDM allows for personalized care plans that align with the family's preferences and the child's specific needs.
Improved Adherence: When families are involved in the decision-making process, they are more likely to adhere to the treatment plan.
Trust and Communication: It fosters open communication and builds trust between the healthcare provider and the family.
Information Exchange: The healthcare provider shares information about the child's condition, treatment options, and potential outcomes. The family shares their values, preferences, and concerns.
Discussion of Options: Both parties discuss the available options, considering the pros and cons of each. The healthcare provider may use
decision aids to help explain complex information.
Deliberation: The family takes time to think about their options, often discussing them privately before making a decision.
Decision Making: The family and healthcare provider come to a mutual agreement on the best course of action.
Implementation: The agreed-upon plan is put into action, with ongoing communication and adjustments as needed.
Complex Information: Medical information can be difficult to understand, especially for families with limited
health literacy.
Emotional Stress: Making healthcare decisions for a child can be emotionally taxing, which may affect the family's ability to participate fully in the process.
Time Constraints: Healthcare providers often have limited time for consultations, which can make thorough discussions challenging.
Diverse Preferences: Families may have diverse cultural, religious, and personal values that need to be considered, which can complicate decision making.
Clear Communication: Use simple language, visual aids, and other tools to ensure that families understand the information provided.
Empathy and Support: Show empathy and provide emotional support to families as they navigate difficult decisions.
Time Management: Allocate sufficient time for discussions and follow-up appointments to address any ongoing concerns.
Training: Providers should receive training in SDM techniques to enhance their communication and decision-making skills.
Involve the Child: When appropriate, involve the child in the decision-making process to ensure their voice is heard.
Conclusion
Shared Decision Making is a vital component of
Pediatric care, ensuring that healthcare decisions are made collaboratively between families and healthcare providers. While there are challenges, effective communication, empathy, and support can help overcome these obstacles, leading to better health outcomes and greater satisfaction for both the child and their family.
