BACKGROUND Shared decision-making for surgery can increase patient engagement, satisfaction, and ... more BACKGROUND Shared decision-making for surgery can increase patient engagement, satisfaction, and clinical outcomes. However, the level of involvement that patients desire at each step of the decision-making process is unknown. METHODS The authors surveyed patients at an academic hand surgery clinic to examine the preferred role in decision-making using validated questionnaires (i.e., Control Preference Scale, Problem-Solving Decision-Making Scale, and General Self-Efficacy Scale). The Control Preference Scale assesses general treatment preferences, whereas the Problem-Solving Decision-Making Scale distinguishes between problem-solving tasks (e.g., making diagnoses, calculating risks/benefits) and decision-making tasks. Patients' self-beliefs and perceived ability to handle difficult situations were assessed with the General Self-Efficacy Scale. The authors used linear regression models and ordinal logistic regression to examine the relationship between self-efficacy and patients' preferred role in treatment decision-making. RESULTS Patients overall preferred an equal share of decision-making responsibility with the surgeon (mean Control Preference Scale score, 3.3 ± 0.7). Specifically, for problem-solving tasks, however, 81 percent of patients wanted to "hand over" the responsibility and 19 percent preferred shared decision-making. In contrast, for decision-making tasks, 54 percent of patients preferred shared decision-making. Each point increase in General Self-Efficacy Scale score correlated with 12 percent greater odds of preferring to retain the responsibility (OR, 1.12; 95 percent CI, 1.05 to 1.21; p = 0.001). However, self-efficacy did not show a significant effect for problem-solving tasks. CONCLUSIONS The authors found that patients prefer surgeons to provide expert knowledge for problem-solving tasks but desire equal share of responsibility in decision-making tasks. The authors' findings support the current shift away from the paternalistic model of surgical decision-making, and provide an effective strategy to tailor shared decision-making to align care delivery with patient preferences.
Da'watuna: Journal of Communication and Islamic Broadcasting
Intercultural communication develops based on two interconnected premises. First, you live in a t... more Intercultural communication develops based on two interconnected premises. First, you live in a time when changing technology, travel, economic and political systems, immigration patterns, and population density have resulted in a world in which you regularly interact with people from different cultures. Second, nowadays, people are very sensitive to the fact that the influence of culture on communication is very close and great. Your cultural background and experience help you determine how the world should be for you and how you will interact with it. Anthropological perspective in intercultural communication is looking at intercultural communication from an anthropological point of view, because the communication already contains cultural values. Intercultural communication is part of the marriage between the disciplines of anthropology and communication which later became a separate discipline both in communication science and in anthropology. Anthropology is one of the fields o...
Buah jeruk atau citrus adalah buah yang mengandung vitamin C yang banyak dikonsumsi oleh masyarak... more Buah jeruk atau citrus adalah buah yang mengandung vitamin C yang banyak dikonsumsi oleh masyarakat Indonesia. Pada umumnya, jeruk hanya dimanfaatkan daging buahnya saja sehingga menyisakan limbah kulit jeruk. Limbah kulit jeruk mempunyai aroma yang dapat mengusir serangga sehingga limbah kulit jeruk dapat dimanfaatkan menjadi lilin aromatik pengusir serangga pengganggu, seperti nyamuk dan lalat. Cara yang digunakan untuk membuat lilin aromatik dari kulit jeruk ini adalah cara destilasi uap. Destilasi uap adalah cara untuk mendapatkan ekstrak dari kulit jeruk tersebut, kemudian setelah memperoleh ekstrak kulit jeruk lalu mencampurnya dengan parafin cair. Setelah pencampuran tersebut lilin yang masih cair dicetak kemudian didinginkan sehingga menghasilkan lilin padat aromatik yang bisa mengusir nyamuk dan lalat. Penelitian ini menggunakan metode deskriptif. Penelitian ini bertujuan untuk membuktikan apakah kulit jeruk bisa mengusir serangga pengganggu, seperti nyamuk dan lalat.
BACKGROUND Shared decision-making for surgery can increase patient engagement, satisfaction, and ... more BACKGROUND Shared decision-making for surgery can increase patient engagement, satisfaction, and clinical outcomes. However, the level of involvement that patients desire at each step of the decision-making process is unknown. METHODS The authors surveyed patients at an academic hand surgery clinic to examine the preferred role in decision-making using validated questionnaires (i.e., Control Preference Scale, Problem-Solving Decision-Making Scale, and General Self-Efficacy Scale). The Control Preference Scale assesses general treatment preferences, whereas the Problem-Solving Decision-Making Scale distinguishes between problem-solving tasks (e.g., making diagnoses, calculating risks/benefits) and decision-making tasks. Patients' self-beliefs and perceived ability to handle difficult situations were assessed with the General Self-Efficacy Scale. The authors used linear regression models and ordinal logistic regression to examine the relationship between self-efficacy and patients' preferred role in treatment decision-making. RESULTS Patients overall preferred an equal share of decision-making responsibility with the surgeon (mean Control Preference Scale score, 3.3 ± 0.7). Specifically, for problem-solving tasks, however, 81 percent of patients wanted to "hand over" the responsibility and 19 percent preferred shared decision-making. In contrast, for decision-making tasks, 54 percent of patients preferred shared decision-making. Each point increase in General Self-Efficacy Scale score correlated with 12 percent greater odds of preferring to retain the responsibility (OR, 1.12; 95 percent CI, 1.05 to 1.21; p = 0.001). However, self-efficacy did not show a significant effect for problem-solving tasks. CONCLUSIONS The authors found that patients prefer surgeons to provide expert knowledge for problem-solving tasks but desire equal share of responsibility in decision-making tasks. The authors' findings support the current shift away from the paternalistic model of surgical decision-making, and provide an effective strategy to tailor shared decision-making to align care delivery with patient preferences.
Da'watuna: Journal of Communication and Islamic Broadcasting
Intercultural communication develops based on two interconnected premises. First, you live in a t... more Intercultural communication develops based on two interconnected premises. First, you live in a time when changing technology, travel, economic and political systems, immigration patterns, and population density have resulted in a world in which you regularly interact with people from different cultures. Second, nowadays, people are very sensitive to the fact that the influence of culture on communication is very close and great. Your cultural background and experience help you determine how the world should be for you and how you will interact with it. Anthropological perspective in intercultural communication is looking at intercultural communication from an anthropological point of view, because the communication already contains cultural values. Intercultural communication is part of the marriage between the disciplines of anthropology and communication which later became a separate discipline both in communication science and in anthropology. Anthropology is one of the fields o...
Buah jeruk atau citrus adalah buah yang mengandung vitamin C yang banyak dikonsumsi oleh masyarak... more Buah jeruk atau citrus adalah buah yang mengandung vitamin C yang banyak dikonsumsi oleh masyarakat Indonesia. Pada umumnya, jeruk hanya dimanfaatkan daging buahnya saja sehingga menyisakan limbah kulit jeruk. Limbah kulit jeruk mempunyai aroma yang dapat mengusir serangga sehingga limbah kulit jeruk dapat dimanfaatkan menjadi lilin aromatik pengusir serangga pengganggu, seperti nyamuk dan lalat. Cara yang digunakan untuk membuat lilin aromatik dari kulit jeruk ini adalah cara destilasi uap. Destilasi uap adalah cara untuk mendapatkan ekstrak dari kulit jeruk tersebut, kemudian setelah memperoleh ekstrak kulit jeruk lalu mencampurnya dengan parafin cair. Setelah pencampuran tersebut lilin yang masih cair dicetak kemudian didinginkan sehingga menghasilkan lilin padat aromatik yang bisa mengusir nyamuk dan lalat. Penelitian ini menggunakan metode deskriptif. Penelitian ini bertujuan untuk membuktikan apakah kulit jeruk bisa mengusir serangga pengganggu, seperti nyamuk dan lalat.
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