Jie Jane Chen, Anna M Brown, Allison E Garda, Ellen Kim, Sarah A McAvoy, Subha Perni, Michael K Rooney, Kevin Shiue, Kristi L Tonning, Laura E Warren, Daniel W Golden, Jennifer M Croke
Patient Education Practices and Preferences of Radiation Oncologists and Interprofessional Radiation Therapy Care Teams: A Mixed-Methods Study Exploring Strategies for Effective Patient Education Delivery
International journal of radiation oncology, biology, physics
nudging behavioral economics concept subtly influences decisionmaking without coercion limiting choice despite frequent use specific application nudging techniques clinicians shared decisionmaking sdm understudied aim analyze clinicians use nudging curated dataset family care conferences picu 2019 2020 retrospectively studied coded 70 previously recorded care conference transcripts involved physicians families 2015 2019 focused decisionmaking discussions examining instances nudging namely salience framing options default endowment commission omission recommend expert opinion certainty social norms nudging instances categorized decision type including tracheostomy goals care procedures singlecenter quaternary pediatric facility general cardiac icus none none assessed pattern frequency nudges transcript sixtythree 70 transcripts contained sdm episodes episodes represented total 11 decision categories based subject matter nudging instances 308 decision episodes across transcripts median interquartile range 5 46 per conference tracheostomy frequently discussed decision total 1096 nudging instances identified across conferences 8 610 nudge types per conference frequent nudging strategy used gain frame 2031096 185 followed loss frame 1501096 137 nudging routinely employed clinicians guide decisionmaking primarily gain loss framing retrospective analysis aids understanding nudging care conferences offers insight potential risks benefits techniques highlights ways application used caregivers may resource future trainee curriculum development