长期护理的共同决策:对评估工具的系统审查
Thi-Thanh-Tinh Giap1, Myonghwa Park2, Jihey Jung3
1College of Nursing, Chungnam National University, Daejeon, South Korea; College of Nursing, Chungnam National University, Daejeon, South Korea.
概括
这次审查确定了36个工具来衡量长期护理 (LTC) 中的共享决策 (SDM). 结果有助于为LTC设置选择适当的SDM评估工具,并为未来的仪器开发提供信息.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 患者参与 患者参与
背景情况:
- 共享决策 (SDM) 在长期护理 (LTC) 中至关重要,以使患者的偏好与治疗计划保持一致.
- 在LTC中有效评估SDM需要为这种独特的环境量身定制的验证测量仪器.
- 现有的审查可能不包括专门为LTC群体开发或验证的SDM工具.
研究的目的:
- 系统地审查和确定用于测量长期护理 (LTC) 环境中的共享决策 (SDM) 的工具.
- 评估与LTC相关的已识别的SDM评估工具的心理特征.
- 为在LTC中选择合适的SDM工具提供指导,并为未来的仪器开发提供信息.
主要方法:
- 从2000年1月到2022年10月的出版物在五个数据库中进行系统的文献搜索.
- 识别和编目 SDM 测量仪器,用于 LTC 接受者,家庭照顾者和医疗保健提供者.
- 对已识别的仪器的心理测量属性的分析,包括可靠性和有效性.
主要成果:
- 确定了36种不同的SDM评估工具,用于LTC设置.
- 工具的具体重点 (例如,接受者,提供者) 和适用性 (LTC 特定与一般医疗保健) 不同.
- 通常评估的心理测量属性包括内部一致性可靠性,内容有效性,结构有效性和假设测试.
结论:
- 有多种SDM评估工具可用于LTC,适合不同环境的适用性不同.
- 研究人员和管理人员可以利用这些发现来根据测量范围,评估方法和可靠性选择合适的仪器.
- 该审查突出了需要改进的领域,并为开发更强大的SDM评估工具提供了基础,这些工具是针对LTC领域量身定制的.
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