探索优化恶性肠道阻塞 (EPOC) 护理的途径:为共享决策的理论主导干预开发采用三阶段批判现实主义方法的协议
Alison Bravington1, Jason W Boland1, Sarah Greenley2
1Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, United Kingdom.
PloS one
|January 25, 2024
概括
本研究探讨了如何通过检查对护理的影响和开发工具来改善患者,护理人员和医疗团队之间的沟通来改善恶性肠道阻塞 (MBO) 的共享决策.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 恶性肠道阻塞 (MBO) 是一种严重的癌症并发症,导致患者严重的痛苦和复杂的治疗决策.
- 目前的护理面临着由于症状的快速发展,缺乏指导方针以及需要多学科投入的挑战.
- 诸如专业规范和信仰等隐性因素对MBO管理中的共享决策产生重大影响.
研究的目的:
- 探索影响恶性肠道阻塞护理共享决策的过程.
- 开发干预措施和工具,以加强MBO的协作决策和专业间互动.
- 通过改善沟通和减少患者的不确定性来解决护理方面的缺陷.
主要方法:
- 一个三阶段研究 (EPOC) 使用一个批判的现实主义框架.
- 第一阶段:现实主义的审查,以开发关于MBO协作决策的解释理论.
- 第二阶段:深入采访,使用修改的基础理论来探索实践.
- 第三阶段:让利益相关者参与,根据综合发现绘制干预计划.
主要成果:
- 该研究旨在提出建议和工具,以改善MBO的共享决策.
- 预期的结果包括增强的患者护理人员和专业间沟通.
- 确定影响MBO管理决策过程的关键因素.
结论:
- 改善共享决策对于管理恶性肠道阻塞至关重要.
- 需要进行干预,以支持协作决策和专业间沟通.
- 这项研究将提供实用工具,以提高对MBO患者的护理.
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