Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Patient Educ Couns. 2018 Oct;101(10):1748-1752. doi: 10.1016/j.pec.2018.06.002. Epub 2018 Jun 6.
This study aimed to answer the following research question: What is the knowledge, opinion, and experience of trauma surgeons with respect to shared decision making (SDM)?
An online survey was sent out in September 2016 to all 257 surgeons registered as a trauma surgeon with the Dutch Association of Trauma Surgery, to gather demographic, knowledge, and practice based information regarding their use of SDM. Results were presented according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES).
The questionnaire was filled out by 112 (44%) trauma surgeons. Opinions about what SDM entails differed, but 27% described a process that was clearly discordant with current consensus. Eighty-six percent of trauma surgeons regarded SDM as (very) relevant for providing good care. Sixty-two percent reported to encounter problems in achieving SDM.
The general opinion of Dutch trauma surgeons towards SDM is very positive, but many lack the understanding of what SDM really implies and surgeons report SDM to be difficult to accomplish. To improve the occurrence of SDM in trauma surgery, there is an obvious need for education and training in SDM skills for surgeons.
本研究旨在回答以下研究问题:创伤外科医生在共享决策(SDM)方面的知识、意见和经验是什么?
2016 年 9 月,向荷兰创伤外科学会注册的 257 名外科医生发送了一份在线调查,以收集关于他们使用 SDM 的人口统计学、知识和实践基础信息。结果根据互联网电子调查报告清单(CHERRIES)进行呈现。
112 名(44%)创伤外科医生填写了问卷。对于 SDM 所包含的内容的意见存在差异,但 27%的人描述的过程显然与当前的共识不一致。86%的创伤外科医生认为 SDM (非常)对提供良好的护理至关重要。62%的人报告在实现 SDM 时遇到问题。
荷兰创伤外科医生对 SDM 的总体看法非常积极,但许多人对 SDM 的真正含义缺乏理解,并且外科医生报告 SDM 很难实现。为了提高创伤外科中 SDM 的发生率,显然需要对外科医生进行 SDM 技能的教育和培训。