Localized Clinical Practice of Shared Decision-making in Pediatric Palliative Care
By summarizing the practical experiences of pediatric palliative care healthcare professionals and conducting an analysis of relevant literature from both domestic and international sources,this study aims to clarify the need for localizing the practice of shared decision-making in pediatric palliative care and discusses key strategies for implementing localized practices in China.The necessity for localizing the practice of shared decision-making in pediatric palliative care lie in various factors including decision-making models,disclosure of illness and death communication to pediatric patients,cultural considerations,and healthcare system factors.The key strategies for localized practice include:fostering a human-centered environment with a focus on pediatric patients and their families,establishing multidisciplinary palliative care teams and fostering interdisciplinary collaboration,and developing intervention models tailored to the local context of shared decision-making.