与患者相关的决策遗憾:一个进化概念分析
Mireille Chehade1, Margaret M Mccarthy1, Allison Squires1
1Rory Meyers College of Nursing, New York University, New York, New York, USA.
Journal of clinical nursing
|May 17, 2024
概括
由于复杂的因素,患者可能会在医疗保健决定后感到遗憾. 这项研究定义了决策后悔,并综合了当前关于患者经验的知识,确定了未来研究和实践的差距.
科学领域:
- 护理研究 护理研究
- 健康心理学 心理健康心理学
- 决策科学 决策科学 决策科学
背景情况:
- 医疗保健决策是复杂的,涉及各种选择,计划,时间限制和不确定的结果.
- 这种复杂性可能会导致患者对决策感到遗憾.
- 现有的文献显示了决策遗憾的不一致的定义和操作化.
研究的目的:
- 建立一个关于决策后悔的概念定义.
- 综合当前对患者与决策遗憾的经历的科学理解.
主要方法:
- 使用罗杰斯的进化方法进行概念分析.
- 在五个数据库 (PubMed,CINAHL,Embase,PsycINFO,Web of Science) 中,从2003年至2023年进行跨学科的文献搜索.
- 以PRISMA-ScR检查清单为指导的报告.
主要成果:
- 从25篇文章中,制定了一个关于决策后悔的概念定义.
- 关键的属性包括其负面的认知情感性质,决策后的经验和时间 (即时/延迟).
- 确定了先例 (例如,心理状态,决策过程) 和后果 (例如,生活质量,患者与提供者关系),形成了一个概念模型.
结论:
- 需要进一步的研究,特别是对遗憾的时间方面.
- 识别的研究,临床和政策差距为护理建议提供了信息.
- 这项研究旨在指导理解和管理决策后悔的演变.
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