Laura Spinnewijn

Contents CHAPTER 1 General introduction 7 PART I Training residents in shared decision-making 19 CHAPTER 2 Assessing the educational quality of shared decision-making interventions for residents: a systematic review 21 CHAPTER 3 Structurally collecting patient feedback on trainee skills: a pilot study in Obstetrics and Gynecology 43 PART II Exploring determinants of clinician (dis-)engagement in shared decision-making 59 CHAPTER 4 Knowing what the patient wants: a hospital ethnography studying physician culture in shared decision-making in the Netherlands 61 CHAPTER 5 Is it fun or is it hard? Studying physician-related attributes of shared decision-making by ranking case vignettes 79 CHAPTER 6 Unravelling clinicians’ shared decision-making adoption: a framework analysis through the lens of Diffusion of Innovations theory 95 CHAPTER 7 General discussion 113 ADDENDUM English summary 134 Nederlandse samenvatting (Dutch summary) 138 Author contributions 142 Supplementary files 144 Dankwoord 163 Curriculum Vitae 165

RkJQdWJsaXNoZXIy MTk4NDMw