外科医生如何使用风险计算器和非临床因素进行知情同意和共享决策:一项定性研究
Jasmine Panton1, Brendin R Beaulieu-Jones2, Jayson S Marwaha2
1Geisel School of Medicine at Dartmouth, Hanover, NH, USA; Department of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, MA, USA.
外科医生使用临床和非临床因素进行风险评估,超越传统的风险计算器. 患者的素养影响了外科医生在知情同意期间如何沟通外科风险.
科学领域:
- 医学沟通 医学沟通
- 外科手术决策的制定能力
- 患者安全 患者安全
背景情况:
- 知情同意要求讨论手术风险,益处和替代方案.
- 共享决策是外科医生与患者沟通的核心.
- 风险计算器是帮助外科手术沟通和决策的工具.
研究的目的:
- 了解外科医生如何评估和沟通风险.
- 探索风险计算器在外科医生与患者沟通中的作用.
- 优化手术环境中的知情同意流程.
主要方法:
- 对来自两个机构的13名外科医生的采访进行了定性分析.
- 面试的重点是风险评估,使用风险计算器和风险沟通策略.
- 分析遵循了加强流行病学观察研究报告 (SRQR) 的指导方针.
主要成果:
- 外科医生利用临床和非临床因素 (例如,健康素养) 来进行患者风险分层.
- 对风险沟通的看法和患者偏好并不总是与患者的优先事项保持一致.
- 非临床因素正在改变风险评估和沟通,与传统的风险计算器有所不同.
结论:
- 外科医生整合了超越传统指标的各种因素,以实现个性化的风险沟通.
- 将外科医生的沟通策略与患者优先事项相协调,对于有效的共同决策至关重要.
- 对当前风险计算器和决策辅助器的批评需要解决,以便更广泛地采用.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
相关概念视频
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Psychosurgery
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Nurses' Legal Responsibilities I
The legal responsibilities of a nurse regarding informed consent include the following:
Hazard Ratio
For example, in a clinical trial...
Cancer Survival Analysis
Relative Risk
