Patient education and counseling
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To build a conceptual model of the role of communication in decision making, based on literature from medicine, communication studies and medical ethics. ⋯ Good communication with surrogates may improve both the quality of medical decisions and outcomes for the patient and surrogate.
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Clinical consultations with patients should be informed by the evidence-based and involve shared decision making (SDM). We aimed to determine the delivery of SDM by clinicians with patients referred for invasive treatment of cardiac electrical disease and to establish whether decisions made corresponded with patient and referring physician expectations. ⋯ Clinicians performing invasive cardiac treatment should be able to demonstrate high quality decision making.
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To examine the structural validity, internal consistency, test-retest reliability, and construct validity of the 5-item Perceived Efficacy in Patient-Physician Interactions (PEPPI-5) scale in patients with osteoarthritis (OA). ⋯ The PEPPI-5 is a brief and appropriate tool for measuring self-efficacy of patients with OA to interact with their physicians. Additional research into its sensitivity to change is needed before it can be confidently recommended as an outcome measure in intervention studies.