什么价值结构是共同决策的基础? 分享决策模式的定性综合
Roukayya Oueslati1, Anke J Woudstra2, Rima Alkirawan3
1Department of Ethics and Law of Health Care, Leiden University Medical Center, Leiden, the Netherlands; Department of Nursing and Research Group Oncological Care, The Hague University of Applied Sciences, The Hague, the Netherlands; Research Group Relational Care, The Hague University of Applied Sciences, The Hague, the Netherlands.
Patient education and counseling
|April 7, 2024
概括
共享决策 (SDM) 涉及价值观的相互作用,包括支持和安全,以增强患者的自主权. 专注于这些价值观可以改善量身定制的决策,特别是对于弱势患者.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学伦理 医学伦理
- 心理学 心理学 心理学
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 了解SDM模型的基本价值观对于有效实施至关重要.
- 现有的SDM模型需要进一步分析以阐明它们的价值结构.
研究的目的:
- 构建共享决策 (SDM) 模型的基础价值结构.
- 在SDM中识别和定义核心价值观.
- 调查这些价值之间的关系.
主要方法:
- 对55个已识别的SDM模型进行了专题分析 (40个先前已识别 + 15个新增).
- 施瓦茨的价值理论被用来编码和定义SDM中的价值.
- 研究了价值关系,以构建一个全面的价值结构.
主要成果:
- 在SDM模型中确定并定义了八个核心价值.
- 出现了三个关键主题:共享控制,安全和支持的环境和定制决策.
- 建立了一个价值结构,突出了成就,仁慈,安全,自我指导和普遍主义的相互作用,以促进患者的自主权和量身定制的决策.
结论:
- 共享决策 (SDM) 是通过价值观的动态相互作用来实现的.
- 仁慈和安全的价值观要求明确注意加强患者的自主权,特别是在弱势群体.
- 开发的价值结构可以指导跨人群SDM价值的比较,并为SDM干预和教育的发展提供信息.
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