Still, engaging in effective SDM practices is not a surgical care panacea. Therefore, SDM stands as a pillar of patients’ autonomy, and clinicians have the moral and ethical duty to support patients in making decisions that embrace their values and priorities. When two or more comparable treatment options are available, healthcare professionals should support the patient in selecting his or her best option, depending on how each patient rates the benefits and hazards of each choice. In particular, SDM is the most advantageous choice for judgments that must consider the patient’s preferences and wishes. SDM is anticipated to improve patient treatment compliance and, consequently, health outcomes. Healthcare professionals and patients are encouraged to engage in SDM to jointly make decisions, considering the best available evidence and the patients’ values and treatment choices. The value of shared decision-making (SDM) in patient-centered care is well recognized in the context of contemporary healthcare. Indeed, the clinical team might lack time to examine the various possibilities and treatment options with the patients, including prognostic information. While team dynamics appear fundamental to ensuring the best quality of care from a patient-centric perspective, knowledge translation and sharing processes are essential to patient-centered care and the inviolable patient-physician relationship. They often have little awareness of the trauma’s causes, the patients’ identities, current conditions, and care preferences. Such professionals operate under challenging circumstances, high stress, and time pressures. Trauma and emergency surgery teams include a group of specialists (comprising surgeons, emergency physicians, anesthesiologists, and nurses, among others) cooperating to provide patients with high-quality care. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions. Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. ResultsĪ total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. The survey was sent to all 917 WSES members, advertised through the society’s website, and shared on the society’s Twitter profile. Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). 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. Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care.
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