Mode of decision making's approach in surgical procedures at Jimma Medical Center, Jimma, Ethiopia.

Abstract

Perform sound decisions making while operating is crucial to the success of surgical procedures. The bewildering to choose the preferred mode of decision-making during a surgical procedure is regularly observed. This study was aimed to assess the mode of decision-making approach in surgical procedures among women who have undergone obstetrics and gynaecologic surgeries, Jimma, Ethiopia 2020. Facility-based cross-sectional study was conducted from April 1 to May 30, 2020, at Jimma Medical Center. A total of 372 surgical patients were selected using a systematic sampling method. The collected data were coded, entered into Epi data version 3.1, and analysed using SPSS version 25. Multinomial logistic regression was carried out to determine the association between the outcome variable and independent variables. Three hundred seventy-two respondents were interviewed and give a 92% response rate. The majority of 220 (59.1%) respondents reported that they decided on the surgical procedures through themselves without external coercion, followed by a shared 94 (25.3%) and paternalism 58 (15.6%). The multinomial logistic regression analysis in model-1 shows that patient-healthcare provider's relationship and practice of informed consent predictors were statistically significant with shared decision making. Moreover in model-2 patient healthcare providers' relationship, marital status, and time spent on decision variables were statistically significant with the outcome variable. In the study, the shared decision-making was inadequate and not in line with recent recommendation guidelines. The paternalism mode of decision-making was still practice. Build patient-health care providers' relationship is vital for promoting and advance the patients' autonomy on the decision-making approach. The healthcare providers should be motive for collaborative decision-making with the patient.