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Decision making among residents in training of obstetrics and gynecology: A qualitative exploration in Pakistani context

Younas, Sana ; Khanum, Saeeda and Qamar, Azher Hameed LU (2023) In PLoS ONE 18(11).
Abstract
Medical decision-making is critical and the decisions are made under uncertain, complex, and dynamic conditions. In this regard, practitioners’ experiences and perceptions may provide a bottom-up knowledge of the issues, as well as a corresponding support system that assists them in learning to make decisions in critical situations. The current study aimed to examine these experiences in the Pakistani context. We interviewed 14 trainee residents (aged 26 to 34 years) from tertiary care hospitals. Using inductive thematic analysis, we explored a participant-centered perspective on the support system and decision-making
process. Findings reveal that the major challenges to decision-making include uncertain and complex situations,... (More)
Medical decision-making is critical and the decisions are made under uncertain, complex, and dynamic conditions. In this regard, practitioners’ experiences and perceptions may provide a bottom-up knowledge of the issues, as well as a corresponding support system that assists them in learning to make decisions in critical situations. The current study aimed to examine these experiences in the Pakistani context. We interviewed 14 trainee residents (aged 26 to 34 years) from tertiary care hospitals. Using inductive thematic analysis, we explored a participant-centered perspective on the support system and decision-making
process. Findings reveal that the major challenges to decision-making include uncertain and complex situations, hospital-related constraints, and socio-cultural context. Both noncritical and critical case management are used in individual and group decision-making processes. The residents use knowledge-based, emotional, and instrumental support to make decisions. The study gave practitioners and academics a trans-disciplinary platform to explore the cognitive, social, and behavioral aspects of decision-making in the healthcare industry. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Medical decision making, Obstetrics and Gynecology Department, Qualitative analysis, Cognitive, Behavioral, Social, decision experience
in
PLoS ONE
volume
18
issue
11
article number
e0287592
pages
23 pages
publisher
Public Library of Science (PLoS)
external identifiers
  • scopus:85175969764
  • pmid:37917601
ISSN
1932-6203
DOI
10.1371/journal.pone.0287592
language
English
LU publication?
yes
id
998eb142-c7c8-4a8c-8135-998dd51db35a
date added to LUP
2023-11-03 16:05:06
date last changed
2024-02-03 03:00:07
@article{998eb142-c7c8-4a8c-8135-998dd51db35a,
  abstract     = {{Medical decision-making is critical and the decisions are made under uncertain, complex, and dynamic conditions. In this regard, practitioners’ experiences and perceptions may provide a bottom-up knowledge of the issues, as well as a corresponding support system that assists them in learning to make decisions in critical situations. The current study aimed to examine these experiences in the Pakistani context. We interviewed 14 trainee residents (aged 26 to 34 years) from tertiary care hospitals. Using inductive thematic analysis, we explored a participant-centered perspective on the support system and decision-making<br/>process. Findings reveal that the major challenges to decision-making include uncertain and complex situations, hospital-related constraints, and socio-cultural context. Both noncritical and critical case management are used in individual and group decision-making processes. The residents use knowledge-based, emotional, and instrumental support to make decisions. The study gave practitioners and academics a trans-disciplinary platform to explore the cognitive, social, and behavioral aspects of decision-making in the healthcare industry.}},
  author       = {{Younas, Sana and Khanum, Saeeda and Qamar, Azher Hameed}},
  issn         = {{1932-6203}},
  keywords     = {{Medical decision making; Obstetrics and Gynecology Department; Qualitative analysis; Cognitive; Behavioral; Social; decision experience}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{11}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS ONE}},
  title        = {{Decision making among residents in training of obstetrics and gynecology: A qualitative exploration in Pakistani context}},
  url          = {{http://dx.doi.org/10.1371/journal.pone.0287592}},
  doi          = {{10.1371/journal.pone.0287592}},
  volume       = {{18}},
  year         = {{2023}},
}