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探索英国国家卫生与临床优化研究所共同决策学习包的用户体验:一项在线定性研究。

Exploring user experiences of the National Institute of Health and Care Excellence's Shared Decision Making learning package: an online qualitative study.

作者信息

Jacklin Simon, Thompson Jessica, Hutchinson Andy, Maddock Katie, Maskrey Neal, Norburn Laura, Underhill Jonathan

机构信息

School of Pharmacy and Bioengineering, Keele University, Newcastle-under-Lyme, UK

School of Pharmacy and Bioengineering, Keele University, Newcastle-under-Lyme, UK.

出版信息

BMJ Open. 2025 May 30;15(5):e088856. doi: 10.1136/bmjopen-2024-088856.

DOI:10.1136/bmjopen-2024-088856
PMID:40447434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12128401/
Abstract

OBJECTIVE

To evaluate the user experience of the joint National Institute of Health and Care Excellence (NICE)/Keele University Shared Decision Making (SDM) learning package.

DESIGN

A qualitative study using online semistructured interviews. Data were analysed using open coding followed by the construction of themes.

SETTING

Participants were recruited and interviewed online via Microsoft Teams.

PARTICIPANTS

Healthcare professionals who had used the NICE SDM learning package and provided contact details between June 2021 and April 2022 were eligible to be contacted.

INTERVENTION

The online learning package developed to support the implementation of the NICE SDM guideline.

FINDINGS

12 participants from a variety of different professional backgrounds were interviewed and reported that the learning package was easy to use and the different formats for presenting the information were engaging. The package was available in discrete sections-'bitesize' chunks-which allowed the participants to fit their learning around their busy schedules. The package included virtual patients (VPs) which allowed users to practice their SDM skills and put the learning into practice. The VPs also stimulated reflection on current performance and a shift in approach to SDM in practice. Suggestions were made by participants to improve the usability and accessibility of the learning package.

CONCLUSION

The NICE SDM learning package was viewed favourably by the participants. The bitesize structure and interactivity were key positive elements. Many participants suggested that they had made changes to their practice as a result of using the package.

摘要

目的

评估英国国家卫生与临床优化研究所(NICE)与基尔大学联合推出的共同决策(SDM)学习包的用户体验。

设计

采用在线半结构化访谈的定性研究。使用开放编码对数据进行分析,随后构建主题。

设置

通过微软团队在线招募并采访参与者。

参与者

在2021年6月至2022年4月期间使用过NICE SDM学习包并提供了联系方式的医疗保健专业人员有资格被联系。

干预措施

为支持NICE SDM指南的实施而开发的在线学习包。

研究结果

采访了12名来自不同专业背景的参与者,他们表示学习包易于使用,呈现信息的不同形式很有吸引力。该学习包以离散的部分——“小单元”形式提供,使参与者能够在繁忙的日程安排中安排学习。学习包包括虚拟患者,这让用户能够练习他们的SDM技能并将所学付诸实践。虚拟患者还激发了对当前表现的反思以及在实践中对SDM方法的转变。参与者提出了改进学习包可用性和可及性的建议。

结论

参与者对NICE SDM学习包评价良好。小单元结构和交互性是关键的积极因素。许多参与者表示,由于使用了该学习包,他们已经改变了自己的实践。

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Shared Decision-Making, Therapeutic Choice, and Decisional Regret in Patients With Alopecia Areata.斑秃患者的共同决策、治疗选择和决策后悔。
JAMA Dermatol. 2022 Oct 1;158(10):1187-1191. doi: 10.1001/jamadermatol.2022.3025.
2
Practices and perspectives of patients and healthcare professionals on shared decision-making in nephrology.肾病学中患者和医疗保健专业人员共同决策的实践和观点。
BMC Nephrol. 2022 Jul 21;23(1):258. doi: 10.1186/s12882-022-02887-4.
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Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting.
在基层医疗环境中实施继续医学教育干预的障碍和促进因素。
BMC Health Serv Res. 2022 May 13;22(1):638. doi: 10.1186/s12913-022-08019-w.
4
Experiences of shared decision making among patients with psychotic disorders in Norway: a qualitative study.挪威精神病患者共同决策体验的定性研究。
BMC Psychiatry. 2022 Mar 17;22(1):192. doi: 10.1186/s12888-022-03849-8.
5
Do consultants do what they say they do? Observational study of the extent to which clinicians involve their patients in the decision-making process.顾问是否言行一致?观察性研究临床医生在决策过程中让患者参与的程度。
BMJ Open. 2022 Jan 5;12(1):e056471. doi: 10.1136/bmjopen-2021-056471.
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Shared decision making: What is the work?共同决策:何为其工作?
Patient Educ Couns. 2021 Jul;104(7):1591-1595. doi: 10.1016/j.pec.2020.11.032. Epub 2020 Dec 1.
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Does shared decision-making reduce antibiotic prescribing in primary care?共决策是否会减少初级保健中的抗生素处方?
J Antimicrob Chemother. 2018 Nov 1;73(11):3199-3205. doi: 10.1093/jac/dky321.
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Halsted's "See One, Do One, and Teach One" versus Peyton's Four-Step Approach: A Randomized Trial for Training of Laparoscopic Suturing and Knot Tying.霍尔斯特德的“看一个,做一个,教一个”与佩顿的四步法:腹腔镜缝合与打结训练的随机试验
J Surg Educ. 2018 Mar-Apr;75(2):510-515. doi: 10.1016/j.jsurg.2017.07.025. Epub 2017 Aug 8.
9
Montgomery and informed consent: where are we now?蒙哥马利案与知情同意:我们如今处于何种境地?
BMJ. 2017 May 12;357:j2224. doi: 10.1136/bmj.j2224.
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Implementing shared decision making in the NHS: lessons from the MAGIC programme.在英国国家医疗服务体系(NHS)中实施共同决策:来自MAGIC项目的经验教训。
BMJ. 2017 Apr 18;357:j1744. doi: 10.1136/bmj.j1744.