在制定指导方针建议时,将患者的价值观和偏好纳入新的框架:指导方针小组调查
Linan Zeng1, Lise M Helsingen2, Michael Bretthauer2
1Evidence-based Pharmacy Centre/Pharmacy Department, West China Second University Hospital, Sichuan University, Chengdu, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
Journal of clinical epidemiology
|July 15, 2023
概括
制定可靠的临床指南需要整合患者的价值观和偏好. 本研究提出了一个框架和小组调查,以系统地将患者的价值观和偏好纳入指南建议.
科学领域:
- 临床实践指南 临床实践指南
- 卫生决策制定 卫生决策
- 以患者为中心的护理
背景情况:
- 值得信赖的临床指南需要根据患者的价值观和偏好提出建议.
- 准则小组面临着整合患者价值观和偏好的挑战,特别是有限的信息.
- 系统地纳入患者的价值观和偏好对于指导方针的可信度至关重要.
研究的目的:
- 开发和评估一个框架,系统地将患者的价值观和偏好纳入指南建议.
- 为指导方针小组提供明确的指导,以便在这个过程中导航.
- 提高准则制定的透明度和系统性.
主要方法:
- 制定了一个框架,用于创建小组调查,以引起指南小组成员对患者价值观和偏好的看法.
- 该框架最初应用于结直肠癌查指南.
- 通过讨论和共识进行代改进,在各种主题领域进一步应用.
主要成果:
- 关于创建和实施小组调查的五步框架已经完成.
- 面板调查可以满足与患者定量价值和偏好相关的三个关键目标.
- 附带的视频提供了调查实施的详细说明.
结论:
- 开发的框架为透明和系统地纳入患者价值观和偏好提供了明确的指导.
- 这种方法有助于指导方针小组制定更好地反映患者价值观的建议.
- 该框架支持创建更加以患者为中心和可信的临床指南.
相关概念视频
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
Guidelines For Measuring Vital Signs
1.7K
Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
1.7K
Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K


