社区护士和患者对家庭共享决策的看法和经验:综合性审查
Katie Mills1, Lucy McGeagh1, Marion Waite1
1Oxford School of Nursing and Midwifery, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK.
Journal of advanced nursing
|July 23, 2024
概括
患者和社区护士重视在家中共享决策,但实践障碍仍然存在. 沟通和信任是关键,但不同的观点可能会造成紧张,突出理论和实践之间的差距.
科学领域:
- 护理 护理 护理
- 医疗保健决策 - - 医疗保健决策
- 社区健康 社区健康
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 了解患者和社区护士在家庭环境中使用SDM的经验至关重要.
研究的目的:
- 探索患者和社区护士对家庭共享决策的看法和经验.
- 识别社区护理中有效SDM的促进者和障碍者.
主要方法:
- 质量,定量和混合方法研究的综合性审查.
- 搜索了CINAHL,英国护理指数,Psycinfo,Medline和社会服务摘要 (2001-2023年).
- 对包括13项研究的数据进行了主题分析.
主要成果:
- 患者高度重视参与和感觉独一无二;沟通和信任是基本的.
- 医疗保健管理并未得到一致的实践;护士在管理患者参与方面经历了压力.
- 患者和护士之间的不同观点构成重大障碍.
结论:
- 虽然受到重视,但家庭护理中的SDM面临实际挑战,特别是当观点分歧时.
- 需要进一步的研究,以了解SDM在实践中,并解决经历过的紧张局势.
- 弥合SDM理论和社区护理实践之间的差距至关重要.
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