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护理中的共享临床决策经验:一项定性研究。

Shared clinical decision-making experiences in nursing: a qualitative study.

作者信息

Chung Fen-Fang, Wang Pao-Yu, Lin Shu-Chuan, Lee Yu-Hsia, Wu Hon-Yen, Lin Mei-Hsiang

机构信息

Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan, R.O.C.

Department of Nursing, MacKay Junior College of Medicine, Nursing, and Management, New Taipei City, Taiwan, R.O.C.

出版信息

BMC Nurs. 2021 Jun 1;20(1):85. doi: 10.1186/s12912-021-00597-0.

DOI:10.1186/s12912-021-00597-0
PMID:34074284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8167946/
Abstract

BACKGROUND

Shared decision making (SDM) is a patient-centered nursing concept that emphasizes the autonomy of patients. SDM is a co-operative process that involves information exchange and communication between medical staff and patients for making treatment decisions. In this study, we explored the experiences of clinical nursing staff participating in SDM.

METHODS

This study adopted a qualitative research design. Semistructured interviews were conducted with 21 nurses at a medical center in northern Taiwan. All interview recordings were transcribed verbatim. Content analysis was performed to analyze the data.

RESULTS

The findings yielded the following three themes covering seven categories: knowledge regarding SDM, trigger discussion and coordination, and respect of sociocultural factors.

CONCLUSIONS

The results of this study describe the experiences of clinical nursing staff participating in SDM and can be used as a reference for nursing education and nursing administrative supervisors wishing to plan and enhance professional nursing SDM in nursing education.

摘要

背景

共同决策(SDM)是一种以患者为中心的护理理念,强调患者的自主性。SDM是一个合作过程,涉及医护人员与患者之间的信息交流和沟通,以做出治疗决策。在本研究中,我们探讨了临床护理人员参与SDM的经验。

方法

本研究采用质性研究设计。对台湾北部一家医疗中心的21名护士进行了半结构式访谈。所有访谈录音均逐字转录。进行内容分析以分析数据。

结果

研究结果产生了以下三个主题,涵盖七个类别:关于SDM的知识、引发讨论与协调、尊重社会文化因素。

结论

本研究结果描述了临床护理人员参与SDM的经验,可为希望在护理教育中规划和加强专业护理SDM的护理教育及护理行政管理人员提供参考。

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Contemp Nurse. 2020 Apr;56(2):101-104. doi: 10.1080/10376178.2020.1771191. Epub 2020 Jun 19.
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Patient involvement in micro-decisions in intensive care.患者参与重症监护中的微决策。
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Patients' perspectives on shared decision making in secondary mental healthcare in Taiwan: A qualitative study.台湾二级精神卫生保健中患者对共同决策的看法:一项定性研究。
Patient Educ Couns. 2020 May 26. doi: 10.1016/j.pec.2020.05.030.
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Building ground for didactics in a patient decision aid for hip osteoarthritis. Exploring patient-related barriers and facilitators towards shared decision-making.为髋关节骨关节炎患者决策辅助工具构建教学基础。探索与患者相关的障碍和促进因素,以实现共同决策。
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