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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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Autores principales: Yu, Shan-Fu, Wang, Hui-Ting, Chang, Meng-Wei, Cheng, Tien-Tsai, Chen, Jia-Feng, Lin, Chia-Li, Yu, Hsing-Tse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602580/
https://www.ncbi.nlm.nih.gov/pubmed/36293890
http://dx.doi.org/10.3390/ijerph192013310
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author Yu, Shan-Fu
Wang, Hui-Ting
Chang, Meng-Wei
Cheng, Tien-Tsai
Chen, Jia-Feng
Lin, Chia-Li
Yu, Hsing-Tse
author_facet Yu, Shan-Fu
Wang, Hui-Ting
Chang, Meng-Wei
Cheng, Tien-Tsai
Chen, Jia-Feng
Lin, Chia-Li
Yu, Hsing-Tse
author_sort Yu, Shan-Fu
collection PubMed
description 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.
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spelling pubmed-96025802022-10-27 Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach Yu, Shan-Fu Wang, Hui-Ting Chang, Meng-Wei Cheng, Tien-Tsai Chen, Jia-Feng Lin, Chia-Li Yu, Hsing-Tse Int J Environ Res Public Health Article 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. MDPI 2022-10-15 /pmc/articles/PMC9602580/ /pubmed/36293890 http://dx.doi.org/10.3390/ijerph192013310 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yu, Shan-Fu
Wang, Hui-Ting
Chang, Meng-Wei
Cheng, Tien-Tsai
Chen, Jia-Feng
Lin, Chia-Li
Yu, Hsing-Tse
Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach
title Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach
title_full Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach
title_fullStr Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach
title_full_unstemmed Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach
title_short Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach
title_sort determining the development strategy and suited adoption paths for the core competence of shared decision-making tasks through the saa-nrm approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602580/
https://www.ncbi.nlm.nih.gov/pubmed/36293890
http://dx.doi.org/10.3390/ijerph192013310
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