Validation of a Process for Shared Decision-Making in Pediatrics

A Nudge or a Shove: The Importance of Balancing Parameters and Training in Decision-Making Communication*

“…Some strategies to encourage robust decision-making as described in the literature are shown (Table 1). These include implementing process-based approaches to decision-making, increasing transparency about shortcomings in healthcare with health equity dashboards, mandatory implicit bias as well as communication skills training, efforts to improve family-centered care provision in PICUs, and ongoing research including efforts to enhance practical implementation of SDM at the bedside (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). • Training and experience are essential for communication around end-of-life decisions (17).…”

Pediatric sickle cell disease: A case for improved clinician‐family partnerships

“…Although there are no standardized SDM models used to support communication with parents of children with medical complexity and their families, one frequently used model is the four‐step decision process by Opel et al 17 This validated process requires clinicians to examine decisions more closely by looking for more than one reasonable treatment option that considers family/patient preferences while still weighing benefits and burdens 17 . This is one of the few tools that looks at medical decision‐making from clinician and parent perspectives together to strengthen communication.…”