开发一个协作议程设定干预 (CASI) 以促进以患者为中心的沟通在卵巢癌护理:一个设计思维方法
Rachel A Pozzar1, James A Tulsky1, Donna L Berry2
1Dana-Farber Cancer Institute, 450 Brookline Ave., Boston, MA 02215, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.
Patient education and counseling
|December 12, 2023
概括
这项研究开发了协作议程设置干预 (CASI) 以改善卵巢癌患者的以患者为中心的沟通. 该干预旨在解决未得到满足的沟通需求,并通过更好的对话提高护理质量.
科学领域:
- 在瘤学瘤学.
- 卫生沟通健康沟通
- 人与计算机的交互
背景情况:
- 以患者为中心的沟通 (PCC) 对癌症患者的生活质量至关重要.
- 卵巢癌患者报告了大量未满足的沟通需求.
- 现有的沟通干预措施可能无法充分满足患者的特定需求.
研究的目的:
- 开发一种通过设计思维在卵巢癌治疗中促进PCC的干预措施.
- 为了解决临床接触中错误的访问优先级和低于最佳的沟通问题.
- 创建一个新的干预措施,集成到电子健康记录中.
主要方法:
- 采用设计思维原则:同情,定义,构想和原型.
- 进行文献审查并创建利益相关者/路线图,以了解沟通障碍.
- 与利益相关者一起开发和测试了干预的线框原型.
主要成果:
- 识别出错误的访问优先级是有效沟通的关键障碍.
- 强调需要进行偏好评估,增强沟通自我效能,提高访问效率.
- 开发了协作议程制定干预 (CASI),这是利益相关者批准的原型.
结论:
- 设计思维为开发以患者为中心的医疗保健干预提供了一个结构化的方法.
- CASI是一个新的干预措施,旨在通过制定访问议程和提供EHR内指导来改善沟通.
- 需要进一步的研究来评估CASI的可用性和可接受性.
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