Shared Decision Making in Neurocritical Care

Abstract

Shared decision making is a collaborative decision-making process between health care providers and patients or their surrogates, taking into account the best scientific evidence available while considering the patient's values, goals, and preferences. Decision aids are tools enabling SDM. This article discusses shared decision making in general and in the intensive care unit in particular and facilitators and barriers for the creation and implementation of International Patient Decision Aids Standards Collaboration-compliant decision aids for the intensive care unit and neuro-intensive care unit.

Keywords: Decision aid; Intensive care unit; Neurocritical care; Patient-centered care; Shared decision making.

Copyright © 2017 Elsevier Inc. All rights reserved.

Figures

Figure 1. Step-wise process of shared decision-making

We show the core aspects to initiate, streamline, and establish a proper SDM dialogue.

Figure 2. Barriers of SDM implementation

Perceived and observable barriers to SDM.

Figure 3. Effects of a decision aid on decision-making

Shown is a summary of the positive, negative and neutral effects of DAs in decision-making,