UNDERSTANDING THE DECISION-MAKING PROCESS FOR NEUROSURGICAL INTERVENTIONS: A QUALITATIVE ANALYSIS
Main Article Content
Keywords
Shared decision-making, neurosurgical interventions, patient-centered care
Abstract
Background: High-risk operations that have a major effect on patients' quality of life are frequently a part of neurosurgical interventions. Given the intricacy of these choices, it is essential to comprehend the viewpoints of patients, families, and healthcare professionals, especially when it comes to shared decision-making (SDM).
Objective: The purpose of this study was to investigate, through a qualitative method, how neurosurgical care decisions are made, with an emphasis on the emotional, cultural, and cognitive aspects that affect treatment decisions.
Methods: 110 participants, including patients, family members, and medical professionals, participated in a qualitative study at a tertiary care neurosurgery center. Key themes impacting decision-making were identified using thematic content analysis of in-depth, semi-structured interviews.
Results: Although 56.7% of patients favored SDM, power was frequently transferred to surgeons or families due to cultural dominance, emotional suffering, and a lack of medical understanding. Effective SDM was hampered by patient impairment, time constraints, and a lack of teaching resources, according to healthcare providers.
Conclusion: Making decisions on neurosurgery is a complicated process that is influenced by economic, cultural, emotional, and medical aspects. Patient care and family involvement can be improved by using shared decision-making (SDM) in a more methodical and compassionate way. To improve collaborative decision-making, future initiatives should concentrate on educating healthcare professionals and putting decision-support systems into place.
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Prof. Dr. Raz Muhammad Kakar
Professor and Head, Department of Neurosurgery, Bolan Medical College Hospital; Principal, Bolan Medical College, Quetta, Pakistan.
Dr. Muhammad Alyas
Assistant Professor, Department of Psychiatry, Balochistan Institute of Psychiatry and Behavioural Sciences (BIPBS), Quetta, Pakistan.
Dr. Asmatullah
Assistant Professor, Department of ENT, Bolan Medical College Hospital; Vice Principal, Bolan Medical College, Quetta, Pakistan.
Dr. Zain Ullah Khan
Associate Professor, Balochistan Institute of Psychiatry and Behavioural Sciences (BIPBS), Quetta, Pakistan.
Dr. Masood Ahmad Khan
Resident, Department of Neurology, Bolan Medical Complex Hospital, Quetta, Pakistan.
Dr. Jalaluddin Rumi
Assistant Professor, Department of Psychiatry, Balochistan Institute of Psychiatry and Behavioural Sciences (BIPBS), Quetta, Pakistan.
Sana Ullah Kakar
Balochistan Institute of Psychiatry and Behavioural Sciences (BIPBS), Quetta, Pakistan.