在物理医学和康复环境中,以关系为中心的共享决策的新过程模型
Christina Papadimitriou1, Marla L Clayman2, Trudy Mallinson3
1School of Health Sciences, Oakland University, Rochester, Michigan, USA.
概括
本研究引入了以关系为中心的共享决策 (RCSDM) 模型,用于物理医学和康复 (PMR). 它涉及涉及患者,护理合作伙伴和慢性残疾护理从业人员的微型决策.
科学领域:
- 康复医学 康复医学 康复医学
- 健康心理学 心理健康心理学
- 卫生社会学 卫生社会学
背景情况:
- 现有的共享决策 (SDM) 模型不足以解决物理医学和康复 (PMR) 中复杂的,日常的"微小决策".
- 这些微小决策对于需要大量支持的慢性残疾人来说至关重要,涉及患者,护理伙伴和多名从业人员.
- 当前的模型往往忽视了这些高支持环境中固有的关系动态.
研究的目的:
- 提出一种新的以关系为中心的共享决策 (RCSDM) 过程模型.
- 解释影响PMR遭遇决策的因素,特别是对于慢性残疾人的个人.
- 提供一个框架,更好地捕捉康复中微小决策的细微差别.
主要方法:
- 一种共同创造的方法,涉及康复从业者和有实践经验的护理合作伙伴.
- 对SDM,慢性残疾和以人为中心的同行评审文献的审查.
- 经验数据的分析和与专家受众对模型的审查.
主要成果:
- 在PMR中,微决策的四级,非层次的概念模型.
- 确定关键层次:社会力量,角色和关系,关系维度和微小决策时刻.
- 强调由患者,护理伙伴和从业人员之间的关系所创造的跨主体环境.
结论:
- RCSDM模型为了解PMR中的微决策提供了一个全面的框架.
- 它强调了关系在为患有慢性残疾的人做出日常决策时的关键作用.
- 该模型与最终用户共同创建,确保相关性和适用性.
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