scholarly journals Patient beliefs and perceptions play a crucial role in the decision-making process when managing a meniscal tear. A qualitative systematic review of the literature

2021 ◽  
Author(s):  
Imran Ahmed ◽  
Fatima Dhaif ◽  
Simon G. F. Abram ◽  
Nick Parsons ◽  
Charles Hutchinson ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Meniscal Tear ◽  
Treatment Success ◽  
Patient Experiences ◽  
Patient Perceptions ◽  
Decision Making Process ◽  
Meniscal Tears ◽  
Qualitative Evidence ◽  
The Impact

Abstract Introduction There has been an increase in research on the effectiveness of treatment options for the management of meniscal tears. However, there is very little evidence about the patient experiences of meniscal tears. Aim To summarise the available qualitative evidence on patients’ experiences and expectations of meniscal tears. Method A search of EMBASE, Medline, Sociofile and Web of Science up to November 2020 was performed to identify studies reporting patient experiences of meniscal tears. Studies were critically appraised using the CASP (Critical Appraisal Skills Program) checklist, and a meta-synthesis was performed to generate third-order constructs (new themes). Results Two studies reporting semi-structured interviews from 34 participants (24 male; 10 female) were included. The mean interview length ranged from 16 to 45 min. Five themes were generated: (1) the imaging (MRI) results are a key driver in the decision-making process, (2) surgery is perceived to be the definitive and quicker approach, (3) physiotherapy and exercise is a slower approach which brought success over time, (4) patient perceptions and preferences are important in the clinical decision-making process and, (5) the impact on patient lives is a huge driver in seeking care and treatment decisions. Conclusion This is the first study to summarise the qualitative evidence on patient experiences with meniscal tears. The themes generated demonstrate the importance of patient perceptions of MRI findings and timing of treatment success as important factors in the decision-making process. This study demonstrates the need to strengthen our understanding of patients’ experiences of meniscal tears.

scholarly journals Influence of COVID-19 Epidemic on the Decision-making Process for Impacted Mandibular Third Molar Removal

2021 ◽  
Author(s):  
Chi Wang ◽  
Jin Xiao ◽  
jingyuan yang
Keyword(s):  
Decision Making ◽  
High Speed ◽  
Clinical Decision Making ◽  
Third Molar ◽  
Decision Making Process ◽  
Saline Irrigation ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Tooth Extractions ◽  
The Impact

Abstract BackgroundSince December 2019, an infectious disease caused by SARS-CoV-2 has swept through the world and has had a significant impact on dental services. Methods: In this study, from April 21 to April 28, 2020, a questionnaire survey was taken by a self-made questionnaire in order to investigate the impact of the COVID-19 epidemic on the decision-making process for impacted mandibular third molar removal and related clinical teaching. The Wenjuanxing software was used as a survey platform to survey oral clinicians engaged in the extraction of mandibular third molars. ResultsA total of 321 valid questionnaires were returned in this study. Because of the COVID-19 pandemic. The results showed that 22.4% of clinicians were temporarily not performing tooth extractions in outpatient clinics, and 50.2% of clinicians were temporarily not performing impacted tooth extractions. The main reason cited was that “Aerosol-generating high-speed handpieces were not recommended to be used during the pandemic.” During the pandemic, the surgical handpiece with copious saline irrigation was the main method used for bone removal; the hammer-and-chisel method was considered to be too traumatic and posed too high a risk of iatrogenic injury.ConclusionThe implementation of epidemic control measures during the novel COVID-19 pandemic significantly affects clinical decision making regarding impacted mandibular third molar extractions, the main reason cited was the contraindication to using aerosol-generating high-speed handpieces. The hammer and chisel method may represent a valuable surgical application under the requirements for epidemic prevention and control.

scholarly journals The impact of mapping interictal discharges using EEG-fMRI on the epilepsy presurgical clinical decision making process: A prospective study

Seizure ◽  
2018 ◽  
Vol 61 ◽  
pp. 30-37 ◽  
Author(s):  
Sofia Markoula ◽  
Umair J. Chaudhary ◽  
Suejen Perani ◽  
Alessio De Ciantis ◽  
Tinonkorn Yadee ◽  
...  
Keyword(s):  
Decision Making ◽  
Prospective Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Process ◽  
Interictal Discharges ◽  
A Prospective Study ◽  
The Impact

scholarly journals Evaluation of the impact of patient input in health technology assessments at NICE

2021 ◽  
Vol 37 ◽  
Author(s):  
Heidi Livingstone ◽  
Vassilia Verdiel ◽  
Helen Crosbie ◽  
Sheela Upadhyaya ◽  
Kevin Harris ◽  
...  
Keyword(s):  
Decision Making ◽  
Interventional Procedures ◽  
Qualitative Data ◽  
Health Technology ◽  
Patient Experiences ◽  
The Other ◽  
Decision Making Process ◽  
New Information ◽  
The Impact ◽  
New Evidence

Abstract Objective Accounts of patient experiences are increasingly used in health technology assessment (HTA) processes. However, we know little about their impact on the decision-making process. This study aims to assess the level and the type of impact of patient input to highly specialised technologies (HSTs) and interventional procedures (IPs) guidance at the National Institute for Health and Care Excellence (NICE). Methods A questionnaire was developed to capture quantitative and qualitative data on the amount and type of impact of patient input into NICE HTAs. It was completed by committee members of the guidance-producing programs after a discussion of the considered topics. The data were analyzed by topic and overall, for each program, and compared across programs. Results Patient input was assessed on ten pieces of HST guidance published between January 2015 and November 2019, and on twenty-six pieces of IP guidance scoped between February 2016 and October 2018. A total of 96 responses were collected for HST and 440 for IP. The level of impact of patient input was higher for HST than for IP. For HST, no respondents stated that it had no impact, whereas in IP, 35 percent of respondents did. The most common types of impact found for HST and IP were that it helped interpret the other evidence and that it provided new evidence. Conclusions The impact of patient input is not necessarily explicit in changing recommendations, but it provides context, reassurance, and new information to the committee for the decision-making process in HTAs.

scholarly journals Moral-uncertainty-distress related to Advance Directives: a qualitative study

2020 ◽  
Author(s):  
Uiara Raiana Vargas de Castro Oliveira Ribeiro ◽  
Liliane Mayumi Swiech ◽  
Waldir Souza ◽  
Úrsula Bueno do Prado Guirro ◽  
Carla Corradi-Perini
Keyword(s):  
Decision Making ◽  
Advance Directives ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Process ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Moral Uncertainty ◽  
Patient’S Autonomy ◽  
The Impact

Abstract Background: moral-uncertainty-distress (MUD) is defined as moral distress related to moral conflict about best course of action, impacting the clinical decision making process in morally complex situations. This study aims to correlate physician’s perception about advance directives (AD) with presence or absence of MUD, identifying the impact that AD promotes on clinical decision making.Methods: this is a qualitative, cross-sectional, exploratory study. Data was collected through semi-structured interviews with physicians of a hospital in southern Brazil. Interviews content was submitted to categorization analysis content technique by Laurence Bardin.Results: eight physicians were interviewed. The analysis contend identified two categories: (1) AD as a morally challenging element and (2) recognition of AD as instruments that exercises patient’s autonomy. In the first, paternalistic attitude; insecurities in uncertain prognoses; uncertainty about patient values and motivations to write the document; and little previous knowledge about AD, were elements of MUD for physicians. In second category, autonomy in AD was seen as prima facie principle and as shared autonomy.Conclusion: although AD were comprehended as instruments of exercise of patient’s autonomy by the participants, some elements were morally challenging for them, which can be a source of MUD to physician during decision making process.

scholarly journals The Impact of Science-Unbased Measures Against COVID-19 in Clinical Decision-Making Process

2020 ◽  
Vol 21 (8) ◽  
Author(s):  
João Vitor Cândido Pimentel ◽  
Thaíse Duarte Onofre Sabiá e Silva ◽  
Ana Beatriz Tavares Filgueiras ◽  
Modesto Leite Rolim Neto
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Process ◽  
The Impact

scholarly journals The Impact of Social Media Use on Consumers’ Restaurant Consumption Experiences: A Qualitative Study

2021 ◽  
Vol 13 (12) ◽  
pp. 6581
Author(s):  
Jooyoung Hwang ◽  
Anita Eves ◽  
Jason L. Stienmetz
Keyword(s):  
Decision Making ◽  
Social Media ◽  
Selection Process ◽  
Decision Making Process ◽  
Structured Interviews ◽  
High Standards ◽  
Tourism And Hospitality Industry ◽  
Tourism And Hospitality ◽  
Search For Information ◽  
The Impact

Travellers have high standards and regard restaurants as important travel attributes. In the tourism and hospitality industry, the use of developed tools (e.g., smartphones and location-based tablets) has been popularised as a way for travellers to easily search for information and to book venues. Qualitative research using semi-structured interviews based on the face-to-face approach was adopted for this study to examine how consumers’ restaurant selection processes are performed with the utilisation of social media on smartphones. Then, thematic analysis was adopted. The findings of this research show that the adoption of social media on smartphones is positively related with consumers’ gratification. More specifically, when consumers regard that process, content and social gratification are satisfied, their intention to adopt social media is fulfilled. It is suggested by this study that consumers’ restaurant decision-making process needs to be understood, as each stage of the decision-making process is not independent; all the stages of the restaurant selection process are organically connected and influence one another.

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