代理决策和破译重症患者价值的经验:一种定性研究
Yuling Lei1,2, Weijing Sui1, Ling Chen3
1Nursing Department, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, China.
Nursing in critical care
|October 16, 2024
概括
严重病患者的代理决策者 (SDM) 面临着由于患者价值观和偏好不明确的挑战. 改善沟通和支持对于更好的决策和减少遗憾至关重要.
科学领域:
- 医学伦理 医学伦理
- 质量健康研究 质量健康研究
- 以患者为中心的护理
背景情况:
- 代理决策者 (SDM) 在为重症患者做决定时遇到重大挑战.
- 目前的共享决策模式尚未完全实施,导致对SDM的支持不足.
研究的目的:
- 探索SDM在重症患者的决策过程中的经验.
- 了解SDM如何感知和解释他们代表的患者的价值观和偏好.
主要方法:
- 一个构造主义的定性研究,利用半结构面试.
- 对10名重症患者的14名SDM的字面转录进行了主题分析.
主要成果:
- 确定了三个关键主题:代孕母亲的负担,难以辨别患者价值观的困难以及不令人满意的决策结果.
- 副主题包括代孕牺牲,忽视或替代患者价值,以及决定后悔影响SDM自我有效性.
结论:
- 增强的沟通策略和支持系统对于SDM至关重要.
- 干预以澄清患者的价值观和偏好可以改善决策质量和患者和SDM的结果.
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