The psychology of uncertainty in difficult decisions

Abstract

Uncertainty is everywhere in clinical practice; diagnosis, referral, arranging treatment and teamwork difficulties may all give rise to troubling uncertainties for doctors. Uncertainty has important psychological components; it affects thinking (cognitions), affects emotions (feelings), and influences relationships with patients, colleagues and teams. This article focuses on understanding experiences of uncertainty, suggesting strategies for thinking about and managing uncertainty. Uncertainty can feel like a failure or a deficiency, however, uncertainty is both inevitable and necessary in clinical practice. Embracing uncertainty and learning to handle it well, makes for more effective decision-making, improves resilience and makes professional work more satisfying.