Ruland C M, Kresevic D, Lorensen M
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106-4904, USA.
J Clin Nurs. 1997 Nov;6(6):495-504.
The refinement of a patient assessment tool for older patients, Lorensen's Self-Care Capability Scale, is described where a systematic elicitation of patient preferences is included in the assessment. This study tests a decision analytic approach as a strategy for formalizing subjective judgement, which makes it possible to include patients' own values and preferences in planning patient care. Applying this technique to patient assessment contributes to explicitly tailoring nursing care decisions to desired outcomes as preferred by individual patients. A shared approach to decision making between nurse and patient ensures a mutual understanding about goals, priorities and patient values through discussion and negotiation. This pilot study supported the merit of including patient preferences systematically in the assessment of older patients. The method provides an important decision aid for nurses in planning nursing care in accordance with patients' own values and preferences for care.
本文描述了一种针对老年患者的患者评估工具——洛伦森自我护理能力量表的完善过程，该评估纳入了对患者偏好的系统引出。本研究测试了一种决策分析方法，作为将主观判断形式化的策略，这使得在规划患者护理时能够纳入患者自身的价值观和偏好。将该技术应用于患者评估有助于根据个体患者的偏好，明确地将护理决策与期望的结果相匹配。护士与患者之间共享的决策方法，通过讨论和协商确保对目标、优先级和患者价值观的相互理解。这项试点研究支持了在老年患者评估中系统纳入患者偏好的价值。该方法为护士根据患者自身的护理价值观和偏好规划护理提供了重要的决策辅助工具。
