Harvard Medical School, Boston, MA, USA.
Semin Oncol Nurs. 2011 Aug;27(3):192-202. doi: 10.1016/j.soncn.2011.04.004.
To define and distinguish informed decision-making (IDM) from shared decision-making (SDM) and review the evidence for technology-based interventions designed to facilitate informed decisions about cancer screening and treatment.
Peer-reviewed research articles from Medline and other data sources accessible through pubmed.gov.
There is evidence that multi-media decision aids (DAs) or support systems can improve quality of decision-making in terms of enhancing knowledge relevant to decision-making, reducing decisional conflict, and customizing education and coaching of patients with cancer.
Nurses have a key role to play in designing, deploying, monitoring, and evaluating multi-media DAs in oncology practice settings. DAs are an adjunct to interpersonal education, providing information to patients in both the clinical setting and in more familiar settings without the time constraints of clinical encounters. Nurses can adopt such DAs and support systems and work with patients to ensure that information has been comprehended, that values have been considered, and that patients play an active role in the decision-making process as they desire.
定义并区分知情决策（IDM）和共享决策（SDM），并回顾旨在促进癌症筛查和治疗决策的基于技术的干预措施的证据。
通过 pubmed.gov 可获取的 Medline 和其他数据源的同行评审研究文章。
有证据表明，多媒体决策辅助工具（DA）或支持系统可以通过增强与决策相关的知识、减少决策冲突以及定制癌症患者的教育和辅导，来提高决策质量。
护士在设计、部署、监测和评估肿瘤学实践环境中的多媒体 DA 方面发挥着关键作用。DA 是人际教育的辅助手段，为患者提供临床环境和更熟悉环境中的信息，而没有临床接触的时间限制。护士可以采用这些 DA 和支持系统，并与患者合作，确保信息已被理解、价值观已被考虑，并且患者按照自己的意愿在决策过程中发挥积极作用。
