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Implementación del Marco de Apoyo a la Decisión de Ottawa en Japón: Evaluación de un Taller de Asesoramiento para la
Satoko Ono1, Misae Ito1, Keiko Matsumoto2
1Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.
Patient education and counseling
|February 6, 2026
Resumen
Un taller de asesoramiento para la toma de decisiones mejoró la confianza de las enfermeras en la toma de decisiones compartida (TDC) y fue culturalmente factible en Japón. Esta capacitación apoya la atención centrada en el paciente y la familia en entornos de atención médica colectivistas.
Área de la Ciencia:
- Educación Sanitaria
- Práctica de Enfermería
- Toma de Decisiones Compartida
Sus antecedentes:
- Las enfermeras requieren estrategias efectivas para apoyar la toma de decisiones compartida (TDC).
- La adaptación cultural de las intervenciones de TDC es crucial para diversos entornos de atención médica.
Objetivo del estudio:
- Evaluar la factibilidad cultural y el impacto de un taller de asesoramiento para la toma de decisiones para enfermeras en Japón.
- Evaluar el efecto del taller en la comprensión de las enfermeras de los conceptos de TDC, las habilidades y la confianza.
Principales métodos:
- Se empleó un diseño de estudio pre-post para evaluar un taller de cuatro horas basado en el Marco de Apoyo a la Decisión de Ottawa (ODSF).
- El taller incorporó conferencias, videos y juegos de roles, con resultados medidos a través de escalas Likert de autoinforme y retroalimentación cualitativa.
- Los datos cuantitativos se analizaron utilizando pruebas t pareadas y la retroalimentación cualitativa se resumió temáticamente.
Principales resultados:
- Después del taller, la comprensión del ODSF aumentó al 87,0%, la capacidad de usar herramientas de apoyo a la decisión al 72,2% y la autoevaluación de las habilidades de TDC al 50,0%.
- La confianza de las enfermeras en la participación en la TDC mejoró significativamente (p < 0,001), al igual que la confianza en la autoevaluación de las habilidades de TDC (p < 0,001).
- Los participantes encontraron que el juego de roles y las demostraciones en video eran particularmente efectivos para la relevancia cultural, especialmente en la toma de decisiones centrada en la familia.
Conclusiones:
- El taller de asesoramiento para la toma de decisiones mejoró significativamente la confianza de las enfermeras en la TDC.
- La capacitación es culturalmente factible y apoya la atención centrada en el paciente y la familia en la atención médica japonesa.
- El asesoramiento para la toma de decisiones adaptado puede fortalecer la capacitación en TDC en culturas colectivistas, promoviendo la atención internacional centrada en el paciente.
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