Murray Mary Ann, Stacey Dawn, Wilson Keith G, O'Connor Annette M
School of Nursing, University of Ottawa, 53 Woodhill Crescent, Ottawa, Ontario, Canada K1B 3B7.
J Palliat Care. 2010 Summer;26(2):112-21.
The effect of a program to train clinicians to support patients making decisions about place of end-of-life care was evaluated. In all, 88 oncology and/or palliative care nursing and allied health providers from three Ontario health networks were randomly assigned to an education or control condition. Quality of decision support provided to standardized patients was measured before and after training, as were participants' perceptions about the acceptability of the training program and their intentions to engage in patient decision support. Compared to controls, intervention group members improved the quality of decision support provided and were more likely to address a wider range of decision-making needs. Intervention group members scored higher on a knowledge test of decision support than controls and rated the components as acceptable. Improvements in the quality of decision support can be made by providing training and practical tools such as a patient decision aid.
对一项培训临床医生以支持患者做出临终护理地点决策的项目效果进行了评估。安大略省三个医疗网络的88名肿瘤学和/或姑息治疗护理及相关健康服务提供者被随机分配到教育组或对照组。在培训前后，测量了为标准化患者提供的决策支持质量，以及参与者对培训项目可接受性的看法和他们参与患者决策支持的意愿。与对照组相比，干预组成员提高了所提供决策支持的质量，并且更有可能满足更广泛的决策需求。干预组成员在决策支持知识测试中的得分高于对照组，并认为这些内容是可接受的。通过提供培训和实用工具（如患者决策辅助工具），可以提高决策支持的质量。
