Author:
Kheirkhah Farzan,Larijani Reza Mousavi,Faramarzi Mahbobeh,Yadollahpour Mohamahd Hadi,Khafri Soraya
Abstract
Abstract
Background
Shared Decision Making (SDM) is as ideal model for resident-patient relationship which may improve medical outcomes. Nevertheless, predictive psychological factors influencing residents’ perspective regarding SDM are unclear. The current study investigated the relationship between two psychological factors, mental health and personality traits, and residents’ views toward SDM.
Method
In a cross-sectional study, 168 medical residents of the Babol University of Medical Sciences studying in 13 field specialties were recruited. The residents completed three questionnaires including Shared Decision-Making Questionnaire (SDM-Q-Doc, physician version), General Health Questionnaire (GHQ-12), and Big Five Personality (NEO-FFI).
Results
Residents had an overall agreement of about 88% regarding SDM with patients. There was no significant difference between male and female residents in terms of the degree of agreement for SDM. Concerning SDM, there was no significant relationship either between residents’ views and neuroticism, extraversion, agreeableness, and conscientiousness. In multivariate regression, mental health did not predict the SDM, but openness to experience negatively predicted residents’ views concerning SDM (β = − 0.388, p < 0.001).
Conclusion
The residents’ personality trait of openness to experience was a significant negative predictor of SDM with patients. A better understanding of how psychological factors relate to residents’ perspectives may help clinicians properly discuss the treatment options with the patient thereby encouraging them for SDM or to consider their own preferences.
Funder
Babol University of Medical Sciences
Publisher
Springer Science and Business Media LLC
Subject
Education,General Medicine
Reference44 articles.
1. Coxeter P, Del Mar CB, McGregor L, Beller EM, Hoffmann TC. Interventions to facilitate shared decision making to address antibiotic use for acute respiratory infections in primary care. Cochrane Database Syst Rev. 2015;12(11):CD010907.
2. Smith M, Higgs J, Ellis E. Factors influencing clinical decision making. In: Clinical reasoning in the health professions. 3rd ed. Sydney: Butterworth-Heinemann; 2008. p. 89–100.
3. Coulter A, Harter M, Moumjid-Ferdjaoui N, Perestelo-Perez L, Weijden TVD. European experience with shared decision making. Int J Person-Centered Med (IJPCM). 2015;5(1):9–14.
4. Doherr H, Christalle E, Kriston L, Härter M, Scholl I. Use of the 9-item shared decision making questionnaire (SDM-Q-9 and SDM-Q-doc) in intervention studies-a systematic review. PLoS One. 2017;12(3):e0173904.
5. Hamann J, Mendel R, Bühner M, et al. How should patients behave to facilitate shared decision making-the doctors’ view. Health Expect. 2012;15(4):360–6. https://doi.org/10.1111/j.1369-7625.2011.00682.x.
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