乔安娜·布里格斯研究所的框架方法,以共享决策在生命的终点
Marta Gil Glaría1, María Martín Fernández2, Carla Salgado3,4,5
1Oncology Inpatient Service, Clínica Universidad de Navarra, Madrid, Spain.
概括
使用患者决策辅助工具 (PtDA) 实施共享决策 (SDM) 改善了终身癌症患者的息治疗 (PC). 基于证据的策略和框架对于成功采用和改善患者结果至关重要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对终身癌症护理至关重要.
- 患者决策辅助器 (PtDAs) 可以促进SDM.
- 实施这些工具需要有结构的方法.
研究的目的:
- 通过PtDA实施SDM,以在EOL癌症患者中启动息治疗 (PC).
- 为 PtDA 实施制定一个基于证据的协议.
主要方法:
- 在多个数据库中对SDM进行了全面的范围审查.
- 使用了基于证据的实施框架 (Joanna Briggs研究所).
- 关键支柱包括上下文,促进和评估.
主要成果:
- 审查了15项研究,确定了实施特点和战略.
- 有效的SDM考虑了决策地点,时间,参与者和类型.
- 为PC启动提出了一个视频格式的PtDA协议,遵循IPDAS和CPG.
结论:
- SDM的实施需要基于证据的模型,特别是在复杂的环境中.
- 国家/国际框架支持采用健康创新,如PtDAs.
- SDM提高了患者满意度和护理质量;员工培训和评估是关键.
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