Education and Research Center for Evidence-Based Nursing Knowledge, College of Nursing, Chungnam National University, Daejeon, Republic of Korea.
Faculty of Nursing, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
Nurs Health Sci. 2024 Mar;26(1):e13071. doi: 10.1111/nhs.13071.
In the context of shared decision-making (SDM), experts have advocated the use of validated decision aids (DAs) as valuable tools for facilitating SDM in various healthcare scenarios. This comprehensive review attempts to analyze a vast corpus of DA research by performing thorough searches across four prominent databases (PubMed, CINAHL, Embase, and Web of Science). Independent reviewers selected relevant reviews, extracted data, and assessed review quality using the AMSTAR II tool. A total of 34 systematic reviews were identified and evaluated in this review, encompassing a wide range of outcomes associated with using DAs. These outcomes include patient knowledge, patient involvement in SDM, decision conflict, decision regret, satisfaction, and adherence. In addition, DAs positively affect healthcare provider outcomes by increasing satisfaction, reducing decision conflicts, and lengthening clinical consultations. This review highlights the need for additional research in specific contexts such as long-term care, mental health, and reproductive health to better understand the benefits and challenges of implementing DAs in these settings. Such research can contribute to the improvement of SDM practices and patient-centered care.
在共同决策（SDM）的背景下，专家们提倡使用经过验证的决策辅助工具（DA），将其作为在各种医疗保健场景中促进 SDM 的有价值的工具。本综述旨在通过对四个著名数据库（PubMed、CINAHL、Embase 和 Web of Science）进行全面搜索，对大量的 DA 研究进行分析。独立评审员选择了相关的综述，使用 AMSTAR II 工具提取数据并评估综述的质量。本综述共确定并评估了 34 项系统综述，涵盖了与使用 DA 相关的广泛结果。这些结果包括患者知识、患者参与 SDM、决策冲突、决策后悔、满意度和依从性。此外，DA 通过提高满意度、减少决策冲突和延长临床咨询时间，对医疗保健提供者的结果产生积极影响。本综述强调了在特定环境（如长期护理、心理健康和生殖健康）中进行更多研究的必要性，以更好地了解在这些环境中实施 DA 的益处和挑战。此类研究有助于改善 SDM 实践和以患者为中心的护理。
