129 General discussion These were complementedby renownedsocial sciencetheories,includingKolb’s learningcycle, Bourdieu’sTheoryof Practice,and Rogers’Diffusionof Innovationtheory.This comprehensive approachinspiredthe researchersto broadentheir perspectivesfurtherand introduceother innovativeresearchmethods,such as the patientfeedbacktool and vignette-rankingstudies and the purposefuldesign of new statisticalmethodsfor result analysis.These innovations enabled us to explore fresh perspectives on the utilization or neglect of SDM. Finally,while our thesis emphasizesthe role of physiciansin SDM, we recognizethat it only brieflyaddressesthe roles of patientsand otherhealthcareprofessionals.We firmly assert that the physician’sroleis pivotalto the successof SDM,givenits continuouspresencethroughout the healthcare process and its substantial influence on medical decision-making. This influence extendsbeyondthe doctor-patientencounterand encompassesvariousworkplacesettings. Nevertheless, we also emphasize patients’ invaluable contribution, particularly in medical residents’ education, where their feedback is of paramount importance. Research methods Table 1 provides an overview of all research methods employed in this thesis. Acknowledgments We are incrediblygratefulto the physicians,nurses,and patientswhograciouslyallowedus to collaboratewith them.We particularlyappreciatethosewithinthe Obstetricsand Gynecology Department,where most of our researchdata was collected.Their willingnessto open their social environmentto us, both as insidersand outsidersto the field, has been instrumental in the achievement of our results. 7
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