关于基于模拟的共享决策计划在非小细胞肺癌护理中的影响和可行性的定性研究
Hasna Hakim1,2, Catherine C Alexander2, Elaine Rudell3
1Brigham and Women's Hospital, Boston, MA, USA.
The Permanente journal
|September 13, 2024
概括
这项研究表明,教育显著提高了瘤临床医生的共享决策 (SDM) 技能. 培训使临床医生能够提高以患者为中心的护理和健康结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
背景情况:
- 共享决策 (SDM) 对于改善临床结果和患者体验至关重要.
- 医疗保健团队中SDM使用的多样性和角色混需要进一步调查.
- 这项研究重点关注瘤临床医生的知识,技能和对SDM的态度.
研究的目的:
- 探索一项开创性的教育倡议对瘤临床医生的前线SDM能力的影响.
- 评估参加SDM培训的临床医生的知识,技能和态度.
- 确定影响SDM在癌症护理环境中的采用因素.
主要方法:
- 采用了前性队列定性方法.
- 与6名临床医生进行了采访,他们参加了一个多学科瘤学项目,正在接受SDM继续教育.
- 经验式学习活动包括教学课程和基于模拟的角色扮演.
主要成果:
- 主题分析确定了5个关键类别:对SDM的看法,培训,以患者为中心的护理,挑战和领导力买入.
- 临床医生报告说,SDM的整合得到了改善,参与度提高,并更加重视团队协作.
- 在教育倡议之后,参与者接受了更加以患者为中心的护理模式.
结论:
- 教育和培训显然提高了瘤临床医生的SDM能力.
- 促进SDM原则使临床医生能够改善健康结果和患者体验.
- 结果支持将实际的SDM嵌入到临床实践中,以实现更加以患者为中心的医疗保健环境.
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