Overview
Shared decision making is a collaborative process in which clinicians and patients, and where appropriate their families, work together to choose tests, treatments, or care plans by combining the best available clinical evidence with the patient's values, preferences, and circumstances. It rests on a two-way exchange of information: the clinician communicates the options, benefits, harms, and uncertainties, while the patient conveys what matters most to them, so that the resulting decision is both medically sound and personally meaningful. Decision aids, risk communication, and structured deliberation are common supports for this process. Shared decision making is closely bound to medical ethics, expressing the principle of respect for patient autonomy alongside beneficence, non-maleficence, and justice. It operationalises informed consent as an ongoing dialogue rather than a single signature, and it helps reconcile situations in which evidence is equivocal or in which patients weigh outcomes differently from clinicians. Ethical practice also requires attention to capacity, vulnerability, equitable access to information, and the avoidance of coercion or undue influence, particularly where power imbalances or cultural and social factors affect how freely patients can participate. By aligning care with individual goals while maintaining professional standards, shared decision making supports patient-centred care, improves the legitimacy of difficult choices, and strengthens trust within the clinical relationship.
Research published in this journal
5 peer-reviewed articles, ranked by relevance. Each links to its DOI.
Reimagining Masculinity: Perceptions of Male Support Among Married Women in Luwero District, Uganda
Rooted Resistance: Women’s Socio-Cultural Roles in Environmental Conservation in a Patriarchal Society in Northern Uganda
Economic Masculinity Support and Well-Being of Married Women in Luwero District, Uganda: A Cross-sectional Study
How this research is being cited
The 5 articles above have been cited 6 times in the scholarly literature. Citation data via OpenAlex and Crossref, updated Jun 2026.
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2025 · Global Health Promotion
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2021 · Cancer Reports
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2020 · Environmental Health Review
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2020 · Environmental Health Review
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2018 · Revista Latino-Americana de Enfermagem
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A. Romanzini et al. · 2018 · Revista Latino-Americana de Enfermagem
A sample of recent works citing this journal's research on Shared Decision Making and Ethics, linking to each citing work.