Madsen Claire, Fraser Aileen
Bristol Community Health, Bristol, England.
Nurs Stand. 2015 Apr 1;29(31):50-7. doi: 10.7748/ns.29.31.50.e8570.
This article defines shared decision making in patient care and describes the background to this philosophy. The shared decision making approach is part of a wider initiative to promote patient-centred care and increase patient involvement in clinical decisions. Shared decision making recognises patients' rights to make decisions about their care and is used to assist them to make informed and individualised decisions about care and treatment. As well as reviewing the principles of shared decision making, the article offers practical guidance on how nurses can implement this initiative, including information on sharing expertise, agenda setting, assessing risks and benefits, setting goals, and support and follow up.
本文定义了患者护理中的共同决策，并描述了这一理念的背景。共同决策方法是促进以患者为中心的护理并增加患者参与临床决策的更广泛倡议的一部分。共同决策承认患者有权就其护理做出决定，并用于协助他们就护理和治疗做出明智且个性化的决定。除了回顾共同决策的原则外，本文还提供了关于护士如何实施这一倡议的实用指导，包括分享专业知识、设定议程、评估风险和益处、设定目标以及支持和跟进等方面的信息。
