November 2018, VOLUME 142 / ISSUE Supplement 3
Table of Contents
Supplement Article
- Shared Decision-making in Pediatric Practice: A Broad View
This is an introduction to the supplement with background and rationale for the issue.
- Parental Personal Sense of Duty as a Foundation of Pediatric Medical Decision-making
We describe a model of surrogate decision-making that includes aspects of decision-making that other models simplify or omit, including problem structuring, sense-making, social relationships, and self-identity.
- Involving Youth With a Chronic Illness in Decision-making: Highlighting the Role of Providers
In this article, I describe the role of providers in involving children and adolescents with a chronic illness in medical decision-making.
- A 4-Step Framework for Shared Decision-making in Pediatrics
There is confusion regarding when and how to apply SDM in pediatric practice; this 4-step framework for SDM in pediatrics can be used to offer clarity.
- Pragmatic Strategies for Shared Decision-making
Despite growing evidence to support SDM, there are limited examples of practical language for how a pediatric clinician should communicate to achieve it.
- Creating the Safety and Respect Necessary for “Shared” Decision-making
This article argues that SDM should begin with creating the appropriate conditions for safe emotional communication.
- Supporting Family Decision-making for a Child Who Is Seriously Ill: Creating Synchrony and Connection
When supporting families and children in difficult decisions, clinicians should strive to create a human connection.
- Titrating Clinician Directiveness in Serious Pediatric Illness
We describe a range of clinician directiveness that can be ethically appropriate in caring for children with serious illness and their families.
- Cross-cultural Interactions and Shared Decision-making
We provide a case-based discussion of how cultural differences impact communication and decision-making with recommendations to optimize SDM in cross-cultural encounters.
- Practical Wisdom, Rules, and the Parent–Pediatrician Conversation
In this article, I present the standard process of bedside decision-making, discuss rules versus individual judgments, and examine the patient–doctor and parent–doctor conversations.