scholarly journals Shared decision-making allows subordinates to lead when dominants monopolize resources

2020 ◽  
Vol 6 (48) ◽  
pp. eaba5881
Author(s):  
Danai Papageorgiou ◽  
Damien R. Farine
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Dominance Hierarchy ◽  
Social Groups ◽  
Decision Makers ◽  
Shared Decision ◽  
Intragroup Conflict ◽  
The Social ◽  
Animal Societies

The concepts of leadership and dominance are often conflated, with individuals high in the social hierarchy assumed to be decision-makers. Dominants can exclusively benefit from monopolizing food resources and, therefore, induce an intragroup conflict when leading their group to these resources. We demonstrate that shared decision-making reduces such conflicts by studying movement initiations of wild vulturine guineafowl, a species that forms large, stable social groups with a steep dominance hierarchy. When dominant individuals displace subordinates from monopolizable food patches, the excluded subordinates subsequently initiate collective movement. The dominants then abandon the patch to follow the direction of subordinates, contrasting with nonmonopolizable resources where no individuals are excluded, and dominant individuals contribute extensively to group decisions. Our results demonstrate the role of shared decision-making in maintaining the balance of influence within animal societies.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

Improving the Perception of Patient-Centered Wellness in a Virtual Population During the COVID-19 Pandemic

2021 ◽  
pp. JDNP-D-20-00078
Author(s):  
Sybilla Myers ◽  
Christopher Kennedy
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
Shared Decision Making ◽  
Cognitive Theory ◽  
Well Being ◽  
Mobile App ◽  
Shared Decision ◽  
Patient Centered ◽  
The Social

BackgroundPerceived health-related quality of life (HRQOL) is fundamental to well-being and is a meaningful way to measure physical and mental health.Local ProblemNo standard method exists for measuring perceived HRQOL during the COVID-19 pandemic in participants as they attempt to improve their self-determined wellness goals. An implementation plan that considers the social distancing limitations imposed can be used to predict an individual’s likelihood of long-term success.MethodsDuring the four, 2-week plan-do-study-act (PDSA) cycles, the Social Cognitive Theory model informed the implementation of the four core interventions. To guide iterative changes, the data was analyzed through Excel and run charts.InterventionsThe four core interventions were the shared decision-making tool (SDMT), health mobile app tool (HMAT), wellness tracker tool (WTT), and the team engagement plan.ResultsAmong 28 participants, perceived quality of life increased by 70%, engagement in shared decision-making increased to 82%, app use and confidence increased to 85%, and goal attainment reached 81%.ConclusionsThe SDMT, health app, and wellness tracker created a methodical plan of accountability for increasing participant wellness. The contextual barrier of the COVID-19 pandemic added a negative wellness burden which was mitigated by creating a patient-centered culture of wellness.

The role of a shared decision-making process in paediatric epilepsy surgery

2021 ◽  
Vol 429 ◽  
pp. 119162
Author(s):  
Michelle Gratton ◽  
Bonnie Wooten ◽  
Sandrine Deribaupierre ◽  
Andrea Andrade
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Epilepsy Surgery ◽  
Decision Making Process ◽  
Shared Decision ◽  
Paediatric Epilepsy

How shared is shared decision-making? A care-ethical view on the role of partner and family

2017 ◽  
Vol 43 (9) ◽  
pp. 637-644 ◽  
Author(s):  
Inge van Nistelrooij ◽  
Merel Visse ◽  
Ankana Spekkink ◽  
Jasmijn de Lange
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Ethical View

The Role of Shared Decision Making in Pediatric Food Allergy Management

2020 ◽  
Vol 8 (1) ◽  
pp. 46-51 ◽  
Author(s):  
Aikaterini Anagnostou ◽  
Jonathan O’B. Hourihane ◽  
Matthew Greenhawt
Keyword(s):  
Decision Making ◽  
Food Allergy ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Allergy Management

Shared decision-making, decision aids, and the role of values in treatment decision-making

2017 ◽  
Author(s):  
Amiram Gafni ◽  
Cathy Charles
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Conceptual Development ◽  
Decision Aids ◽  
Treatment Decision ◽  
Clinical Encounter ◽  
Shared Decision ◽  
Treatment Decision Making ◽  
Key Characteristics

Shared decision-making (SDM) between physicians and patients is often advocated as the ‘best’ approach to treatment decision-making in the clinical encounter. In this chapter we describe: (i) the key characteristics of a SDM approach; (ii) the clinical contexts for SDM; (iii) the definition and use of decision aids (DA), as well as their relationship to SDM; and (iv) the vexing problem of defining the meaning and role of values/preferences in treatment decision-making. Areas for further research and conceptual development are also suggested to help resolve outstanding issues in the above areas. Despite the widespread interest in promoting SDM, there does not seem to be as yet a universally accepted consensus on the meaning of this concept.

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