患者在护理服务中共享决策的经验:一种定性研究
Marianne Paulina Van Der Ploeg-Dorhout1,2, Charina Van Den Boogaard1, Heleen Reinders-Messelink1,3,4
1NHL Stenden University of Applied Sciences, Leeuwarden, The Netherlands.
Journal of clinical nursing
|January 29, 2024
概括
患者感到被看到和理解是护理保健中共同决策的关键. 护士应该建立关系,并承认患者的感受,以加强参与和动机在医疗保健决策.
科学领域:
- 护理 护理 护理 护理
- 患者体验 患者体验
- 共享决策 - - 分享决策
背景情况:
- 共享决策 (SDM) 在护理护理中至关重要.
- 了解患者在SDM中的体验对于有效的医疗保健至关重要.
- 关于患者在护理中的SDM视角的研究有限.
研究的目的:
- 探索患者在护理保健中共享决策的经验.
- 确定影响患者参与医疗保健决策的因素.
- 了解以人为中心的护理在SDM中的作用.
主要方法:
- 定性描述性研究设计.
- 采访了20名参与者,来自康复和长期护理机构.
- 使用常数比较方法进行诱导性分析.
主要成果:
- 总体主题是"感觉被看到和理解".
- 关键主题包括护士与患者的关系,沟通,患者的压倒,尽管没有SDM,但仍能做出令人满意的决策,以及患者角色.
- 一个积极的护士-病人关系和有效的沟通是SDM的基础.
结论:
- 感觉得到认可和理解是有效的SDM在以人为中心的护理的先决条件.
- 护士应该优先考虑建立关系和验证患者的经验.
- 赋予患者权力提高了他们的动力和参与SDM的能力.
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