Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice
Thesis (MPhil)--Stellenbosch University, 2024.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Published: |
Stellenbosch : Stellenbosch University
2025
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613788516122624 |
|---|---|
| access_status_str | Open Access |
| author | Mayet, Shafeeqa |
| author2 | Palk, Andrea |
| author_browse | Mayet, Shafeeqa Palk, Andrea |
| author_facet | Palk, Andrea Mayet, Shafeeqa |
| author_sort | Mayet, Shafeeqa |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description |
Thesis (MPhil)--Stellenbosch University, 2024. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/131827 |
| institution | Stellenbosch University (South Africa) |
| last_indexed | 2026-06-10T12:41:42.984Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/131827 Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice Mayet, Shafeeqa Palk, Andrea Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Philosophy. Anesthesiology -- Decision making Informed consent (Medical law) Medical care -- Moral and ethical aspects Communication in medicine Thesis (MPhil)--Stellenbosch University, 2024. ENGLISH ABSTRACT: “Shared Decision Making” (SDM) is an approach which puts patient involvement in healthcare decisions first. In anaesthesia this presents a changing dynamic in the anaesthetist-doctor relationship, as traditionally anaesthesia has followed a more paternalistic approach, with minimal patient involvement, based on the anaesthetist’s expertise. There is, however, a move towards patient involvement in the decision-making process allowing for better “patient centred care”. This thesis aims to provide an analysis of the ethical justifications for implementing SDM in anaesthesia. The view that SDM is imperative in patient-centred care is justified by means of the principlist framework with insights drawn from an “ethics of care” to highlight the importance of “relational autonomy, empathy and context” in which healthcare decisions are made. Insights from the work of philosopher Paul Ricouer are used to emphasize the importance of considering the patient’s distinct preferences and lived experience as a means of promoting their overall well-being. Philosopher “Annemarie Mol’s logic of care and logic of choice” are also used to further support the justification of SDM in anaesthesia care. The logic of care focusses on relational aspects of healthcare and providing the patient with care that is unique to them whereas the logic of choice focusses on the patient’s autonomy and providing them with options in their decision-making. By integrating and balancing these logics, a more collaborative, shared-decision-making process in healthcare is achieved. This thesis also aims to bridge the gap between theoretical ethical insights and practical frameworks such as the “Ottawa Decision Support Framework (ODSF)” and the “Three Talk model (TTM)” to provide a structured framework that can be used to apply SDM effectively. These models are also explored as practical options for anaesthetic practice, and I propose an integrated two step model for SDM in a resource-limited setting such as South Africa. I illustrate this new model’s application in a patient from rural South Africa. Potential barriers to SDM, such as time constraints, information overload, and complexity of healthcare decisions are considered, however, the contention is that SDM can still be effectively and ethically implemented in anaesthesia. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2025-03-31T14:15:42Z 2025-03-31T14:15:42Z 2024-12 Thesis https://scholar.sun.ac.za/handle/10019.1/131827 Stellenbosch University vii, 90 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Anesthesiology -- Decision making Informed consent (Medical law) Medical care -- Moral and ethical aspects Communication in medicine Mayet, Shafeeqa Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice |
| title | Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice |
| title_full | Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice |
| title_fullStr | Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice |
| title_full_unstemmed | Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice |
| title_short | Towards ethically grounded shared decision-making in anaesthesia: integrating principles and practice |
| title_sort | towards ethically grounded shared decision making in anaesthesia integrating principles and practice |
| topic | Anesthesiology -- Decision making Informed consent (Medical law) Medical care -- Moral and ethical aspects Communication in medicine |
| url | https://scholar.sun.ac.za/handle/10019.1/131827 |
| work_keys_str_mv | AT mayetshafeeqa towardsethicallygroundedshareddecisionmakinginanaesthesiaintegratingprinciplesandpractice |