Loiselle Marie-Chantal, O'Connor Annette M, Michaud Cécile
School of Nursing, University of Sherbrooke, Sherbrooke, QC.
CANNT J. 2011 Jul-Sep;21(3):13-8.
Predialysis nurses have an important role in supporting patients who must make decisions when renal replacement therapy is needed. However, no effective interventions have been established for nurses who provide this decision support. The Ottawa Decision Support Framework provides a structure to develop such interventions, which include a patient decision aid and decision coaching.
To propose a method for developing and implementing a decision support intervention.
Guided by this model, a mixed method design is proposed to develop and evaluate the intervention. The intervention includes a decision aid intended for patients and their families and training in decision coaching intended for nurses. Its development requires knowledge synthesis and a decisional needs assessment with key informants. The development of decision coaching competencies for nurses will include an interactive skill building workshop. A constructivist evaluation approach will be used to evaluate the intervention.
This study proposes an innovative approach to develop interventions and should contribute to improving the quality of decision-making regarding dialysis modality and to developing nurses' skills in providing decision support.
透析前护理人员在支持那些在需要肾脏替代治疗时必须做出决策的患者方面发挥着重要作用。然而，对于提供这种决策支持的护理人员，尚未建立有效的干预措施。渥太华决策支持框架提供了一个开发此类干预措施的结构，其中包括患者决策辅助工具和决策指导。
提出一种开发和实施决策支持干预措施的方法。
在该模型的指导下，提出了一种混合方法设计来开发和评估该干预措施。该干预措施包括面向患者及其家属的决策辅助工具以及面向护理人员的决策指导培训。其开发需要知识综合以及与关键信息提供者进行决策需求评估。护理人员决策指导能力的培养将包括一个互动式技能提升工作坊。将采用建构主义评估方法来评估该干预措施。
本研究提出了一种开发干预措施的创新方法，应有助于提高透析方式决策的质量，并培养护理人员提供决策支持的技能。
