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Chapter 4 Psychological Effects in Surgical Decision-making: Evidence, Ethics and Outcomes


 
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1. Title Title of document Chapter 4 Psychological Effects in Surgical Decision-making: Evidence, Ethics and Outcomes - Communication in Surgical Practice
 
2. Creator Author's name, affiliation, country Y. Gavriel Ansara
 
3. Subject Discipline(s) Communication Studies; Linguistics
 
4. Subject Keyword(s) Bias; consent; health communication; decision science; framing effect; health literacy; heuristics; individual differences; medical ethics; risk; shared decision-making; social cognition; treatment preferences
 
5. Subject Subject classification Sociolinguistics (CFB); Medical sociology (MBS); Medical ethics & professional conduct (MBDC)
 
6. Description Abstract Numerous psychological effects can influence decision-making in diverse areas of surgical practice, such as general, gynaecological, cardiothoracic, and urological surgery. Evidence suggests that conscientious surgeons may underestimate the extent to which they, potential surgical candidates and their loved ones, and colleagues in multi-disciplinary teams are influenced by cognitive, environmental, and societal influences. For example, the framing effect is one form of cognitive effect in which varying the description and presentation of information can influence surgical decision-making. Research shows that subtle changes to the way that information is presented can even lead people to change their surgical preferences and to give or withdraw consent. This finding raises a number of clinical, ethical, and legal concerns about how surgeons present information. This chapter will introduce a range of concepts used by researchers to categorise and study psychological effects in medical decision-making, with particular focus on surgical decisions. This chapter will discuss the relevance of these psychological effects to surgical practice; explore cases that illustrate how surgeons’ awareness of these effects can improve professional practice and clinical outcomes; and suggest specific steps that surgeons and other health professionals can take to integrate an awareness of these psychological effects into their professional interactions.
 
7. Publisher Organizing agency, location Equinox Publishing Ltd
 
8. Contributor Sponsor(s)
 
9. Date (YYYY-MM-DD) 15-Mar-2016
 
10. Type Status & genre Peer-reviewed Article
 
11. Type Type
 
12. Format File format PDF
 
13. Identifier Uniform Resource Identifier https://journals.equinoxpub.com/index.php/books/article/view/26406
 
14. Identifier Digital Object Identifier 10.1558/equinox.26406
 
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Communication in Surgical Practice
 
16. Language English=en en
 
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.) international,
contemporary
 
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd